Healthcare Provider Details

I. General information

NPI: 1811528334
Provider Name (Legal Business Name): ANNA REBECCA MITCHELL PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/03/2020
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4545 E 9TH AVE STE 160
DENVER CO
80220-3936
US

IV. Provider business mailing address

4545 E 9TH AVE STE 160
DENVER CO
80220-3936
US

V. Phone/Fax

Practice location:
  • Phone: 303-329-4870
  • Fax: 303-329-4872
Mailing address:
  • Phone: 303-329-4870
  • Fax: 303-329-4872

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number0016790
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: