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NPI Code Detail

MEDICARE: LEAH MITCHELL

MEDICARE: LEAH 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 Therapist8453TTN

General Provider Information

NPI Number : 1508375783
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEAH MITCHELL
Provider Business Mailing Address
First Line : 537 SPRING ST
Second Line :
City : DOVER
State : TN
Zip : 37058-3232
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 537 SPRING ST
Second Line :
City : DOVER
State : TN
Zip : 37058-3232
Country : US
Telephone Number : 931-232-6902
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2017
Last Update Date : 09/20/2017

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Directions to “ LEAH MITCHELL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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