Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TANISHA L MITCHELL
Active Sole ProprietorTANISHA L MITCHELL is a Physical Therapist Assistant healthcare provider located in EDMOND, Oklahoma. NPI 1578065710 is currently active in the NPPES registry. Verify at CMS.
Physical Therapist Assistant · EDMOND, OK
Registration Details
- NPI Number
- 1578065710
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 4, 2018 (8.4662452705583 yrs)
- Last Updated
- Mar 4, 2018
- License
-
115055 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3209 S BROADWAY STE 117EDMOND, OK, 730134062Browse OK providers · Browse ZIP 73013
- Phone
- 4052554393
- Primary Specialty
-
Physical Therapist Assistant
1744P3200X
Other Physical Therapist Assistant Providers in EDMOND, OK
| Name | Credential | NPI |
|---|---|---|
| BILLY JOE WILKERSON JR. | BOC CP LP | 1811296981 |
| TWILA WARE | — | 1356041859 |
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.