Doctor Name: | DR. TOBY ANDREW MITCHELL |
NPI Number: | 1932116399 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | 7501001411 |
Business Practice Address: | 1340 E Main St Niles, MI - 491203650 |
Business Phone Number: | 2696836000 |
Business Fax Number: | 2696836350 |
Mailing Address: | Po Box 725, NILES |
State: | MI |
Postal Code: | 491200725 |
Phone Number: | 2696836000 |
Fax Number: | 2696836350 |
NPI Enumeration Date: | 08/01/2006 |
NPI Last Update Date: | 12/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 7501001411 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |