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NPI Code Detail

MEDICARE: MITCH HAAS DPT

MEDICARE: MITCH HAAS DPT
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 TherapistPT25637FL

General Provider Information

NPI Number : 1235661695
Entity Type Code : Individual
Provider Name (Legal Business Name) : MITCH HAAS DPT
Provider Business Mailing Address
First Line : 2055 PALMETTO ST
Second Line :
City : CLEARWATER
State : FL
Zip : 33765-2118
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2055 PALMETTO ST
Second Line :
City : CLEARWATER
State : FL
Zip : 33765-2118
Country : US
Telephone Number : 727-461-6613
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2017
Last Update Date : 04/03/2017

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Directions to “ MITCH HAAS DPT” Practice Location

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