| Doctor Name: | MR. JONATHAN MIHELLIS |
| NPI Number: | 1942435912 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | PT013611L |
| Business Practice Address: | 1562 Cadiz Rd Suite B Wintersville, OH - 439537630 |
| Business Phone Number: | 7402641417 |
| Business Fax Number: | 7402649395 |
| Mailing Address: | 25 Par 3 Drive, FOLLANSBEE |
| State: | WV |
| Postal Code: | 26037 |
| Phone Number: | 3045277237 |
| Fax Number: | |
| NPI Enumeration Date: | 05/20/2009 |
| NPI Last Update Date: | 05/20/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT013611L |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| 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 |