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Individual

MITCHELL SELVIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
1001 E 11TH ST N, LADYSMITH, WI 54848-1455
(715) 532-5546
Mailing address
1024 LEE LN, LADYSMITH, WI 54848-1188
(715) 415-4135

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3129-18
WI

Other

Enumeration date
06/10/2022
Last updated
06/10/2022
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