Individual
KAYLA JO MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
228 1ST AVE, CANDO, ND 58324-7500
(701) 968-2541
(701) 968-4096
Mailing address
PO BOX 688, CANDO, ND 58324
(701) 968-2541
(701) 968-4096
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1505
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1463402
—
ND
Enumeration date
10/08/2008
Last updated
08/26/2024
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