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NPI Code Detail

MEDICARE: KAREN MARGUERITE MITCHELL

MEDICARE: KAREN MARGUERITE MITCHELL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist7428636-2401UT

General Provider Information

NPI Number : 1538494323
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN MARGUERITE MITCHELL
Provider Business Mailing Address
First Line : 230 INGRAM RD
Second Line :
City : PULASKI
State : TN
Zip : 38478-8029
Country : US
Telephone Number : 435-477-2268
Fax Number :
Provider Business Practice Location Address
First Line : 4081 THORNTON TAYLOR PKWY
Second Line :
City : FAYETTEVILLE
State : TN
Zip : 37334-2674
Country : US
Telephone Number : 931-433-9973
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2009
Last Update Date : 09/18/2023

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Directions to “ KAREN MARGUERITE MITCHELL ” Practice Location

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