Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FREDDIE LAREDIA MITCHELL
Active Sole ProprietorFREDDIE LAREDIA MITCHELL is a Prosthetic/Orthotic Supplier healthcare provider located in JACKSON, Tennessee. NPI 1972382505 is currently active in the NPPES registry. Verify at CMS.
Prosthetic/Orthotic Supplier · JACKSON, TN
Registration Details
- NPI Number
- 1972382505
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 25, 2023 (2.9083596478808 yrs)
- Last Updated
- Sep 25, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
26 BRENTSHIRE SQ STE RJACKSON, TN, 383052265Browse TN providers · Browse ZIP 38305
- Phone
- 7313435313
- Primary Specialty
-
Prosthetic/Orthotic Supplier
335E00000X
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.