Jacqueline Mitchell, PTA

Physical Therapy Assistant · Blue Ridge, GA

Individual Active NPI

NPI number 1407419179

Practice location

990 E Main St Ste 7
Blue Ridge, GA 30513-4534
Phone
(706) 946-2035
Fax
(706) 946-2036

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NPI record

NPI
1407419179
Entity type
Individual (Type 1)
Enumeration date
April 18, 2019
Last updated
April 18, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X PTA004231 GA

Mailing address

6397 Lee Hwy Ste 300
Chattanooga, TN 37421-4915
Phone
(423) 238-7217
Fax
(423) 238-3473

About Jacqueline Mitchell

Jacqueline Mitchell, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 990 E Main St Ste 7, Blue Ridge, GA 30513-4534. The NPI number 1407419179 was assigned on April 18, 2019 and the record was last updated on April 18, 2019.

Jacqueline Mitchell lists a license in the registry: #PTA004231 (GA) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jacqueline Mitchell, PTA?

The NPI number is 1407419179.

What is the phone number of Jacqueline Mitchell?

The phone number listed for the practice location is (706) 946-2035.

Where is Jacqueline Mitchell located?

990 E Main St Ste 7, Blue Ridge, GA 30513-4534.

What is the taxonomy code for Jacqueline Mitchell?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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