| Doctor Name: | MITCHELL DEANE WATSON |
| NPI Number: | 1922010875 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | OWNER |
| License Number: | 1138253 |
| Business Practice Address: | 3000 Blackburn St Amarillo, TX - 791091760 |
| Business Phone Number: | 8063591414 |
| Business Fax Number: | 8063591517 |
| Mailing Address: | 7810 Cervin Dr, AMARILLO |
| State: | TX |
| Postal Code: | 791211206 |
| Phone Number: | 8064671115 |
| Fax Number: | 8063591517 |
| NPI Enumeration Date: | 08/12/2006 |
| NPI Last Update Date: | 11/13/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1138253 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |