Individual
MARIAH MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 S NATIONAL AVE # PROF160, SPRINGFIELD, MO 65897-0027
(417) 836-5000
Mailing address
142 S DENNIS AVE, REPUBLIC, MO 65738-2008
(417) 322-3922
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/12/2021
Last updated
06/12/2021
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