Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MITCHELL TODD BODIFORD
ActiveMITCHELL TODD BODIFORD is a Physical Therapy Assistant healthcare provider located in LAKEVIEW, Oregon. NPI 1619661485 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · LAKEVIEW, OR
Registration Details
- NPI Number
- 1619661485
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 5, 2023 (3.007904427061 yrs)
- Last Updated
- Jan 30, 2026
- Licenses
-
15287 (TN)64939 (OR)
Practice Information
- Address
-
700 S J STLAKEVIEW, OR, 976301623Browse OR providers · Browse ZIP 97630
- Phone
- 5419472114
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in LAKEVIEW, OR
| Name | Credential | NPI |
|---|---|---|
| JEDEDIAH JAMES ADAMS | DPT, C-NDT | 1538774062 |
| AMRON L LYM | DPT | 1942815071 |
| DR. JAMIE RENEE LEWIS | DPT | 1336912641 |
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.