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BROCK MITCHELL

Active

BROCK MITCHELL is a Physical Therapy Assistant healthcare provider located in BOWLING GREEN, Missouri. NPI 1790835221 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · BOWLING GREEN, MO

Registration Details

NPI Number
1790835221
Provider Type
Individual
Gender
Male
NPI Issued
Jan 10, 2007 (19.597879265816 yrs)
Last Updated
Jul 8, 2007
License
117923 (MO)

Practice Information

Address
710 S BUSINESS 61
BOWLING GREEN, MO, 633345239
Browse MO providers · Browse ZIP 63334
Phone
5733246079
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in BOWLING GREEN, MO

Name Credential NPI
ELAINE MCDANNOLD 1144370602
MEGAN SMELSER DPT 1902415797
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.