Individual
MR. GARY MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT, CPT
Contact information
Practice address
504 S MAIN ST, RIVER FALLS, WI 54022-2235
(651) 208-6551
Mailing address
504 S MAIN ST, RIVER FALLS, WI 54022-2235
(651) 208-6551
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10478-146
WI
Other
Enumeration date
01/05/2020
Last updated
01/05/2020
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