Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANTONIO MIXON
ActiveANTONIO MIXON is a Physical Therapist Assistant healthcare provider located in RIVERSIDE, California. NPI 1518432962 is currently active in the NPPES registry. Verify at CMS.
Physical Therapist Assistant · RIVERSIDE, CA
Registration Details
- NPI Number
- 1518432962
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 11, 2018 (7.8743371885261 yrs)
- Last Updated
- Oct 11, 2018
Practice Information
- Address
-
1405 SPRUCE STREETSUITE ARIVERSIDE, CA, 92507Browse CA providers · Browse ZIP 92507
- Phone
- 9517155050
- Primary Specialty
-
Physical Therapist Assistant
1744P3200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.