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NPI Code Detail

MEDICARE: ALI MITTON

MEDICARE:   ALI  MITTON
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 TherapistLPT-034668AZ

General Provider Information

NPI Number : 1952254229
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALI MITTON
Provider Business Mailing Address
First Line : 14545 W INDIAN SCHOOL RD
Second Line :
City : GOODYEAR
State : AZ
Zip : 85395-9243
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 14545 W INDIAN SCHOOL RD
Second Line :
City : GOODYEAR
State : AZ
Zip : 85395-9243
Country : US
Telephone Number : 623-229-7808
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2026
Last Update Date : 02/17/2026

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Directions to “ ALI MITTON ” Practice Location

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