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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MEGUMI IKEDA MITCHELL, MS, ATC/LAT

Active

MEGUMI IKEDA MITCHELL, MS, ATC/LAT is a Athletic Trainer healthcare provider located in ROBERTSDALE, Alabama. NPI 1760051783 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · ROBERTSDALE, AL

Registration Details

NPI Number
1760051783
Provider Type
Individual
Gender
Female
NPI Issued
Jun 23, 2021 (5.1016363220755 yrs)
Last Updated
Jun 23, 2021
License
1339 (AL)

Practice Information

Address
21630 STATE HIGHWAY 59 S
ROBERTSDALE, AL, 365676710
Browse AL providers · Browse ZIP 36567
Phone
2519474154
Fax
2519472666
Primary Specialty
Athletic Trainer
2255A2300X
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.