Mitchell Long, PTA

Physical Therapy Assistant · Edgerton, OH

Individual Active NPI

NPI number 1790029247

Practice location

328 W Vine St
Edgerton, OH 43517-9600
Phone
(419) 298-2321

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NPI record

NPI
1790029247
Entity type
Individual (Type 1)
Enumeration date
November 22, 2012
Last updated
November 22, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X PTA. 08768 OH

Mailing address

21786 Switzer Rd
Defiance, OH 43512-9732
Phone
(740) 975-4464

About Mitchell Long

Mitchell Long, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 328 W Vine St, Edgerton, OH 43517-9600. The NPI number 1790029247 was assigned on November 22, 2012 and the record was last updated on November 22, 2012.

Mitchell Long lists a license in the registry: #PTA. 08768 (OH) 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 Mitchell Long, PTA?

The NPI number is 1790029247.

What is the phone number of Mitchell Long?

The phone number listed for the practice location is (419) 298-2321.

Where is Mitchell Long located?

328 W Vine St, Edgerton, OH 43517-9600.

What is the taxonomy code for Mitchell Long?

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.