Doctor Name: | MR. JUSTIN CORBIN MITCHELL |
NPI Number: | 1982804332 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 11-03235 |
Business Practice Address: | 1323 N A St Wellington, KS - 671524350 |
Business Phone Number: | 6203991241 |
Business Fax Number: | 6203991296 |
Mailing Address: | 2219 Duckcreek Ln, DERBY |
State: | KS |
Postal Code: | 670374317 |
Phone Number: | 3167883356 |
Fax Number: | 6203991296 |
NPI Enumeration Date: | 07/24/2007 |
NPI Last Update Date: | 11/14/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 11-03235 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
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 |