MRS. Jacqueline Jo Mitchell, PTA

NPI #1164665535 in Columbus, Nebraska

Provider Information

NPI Number: 1164665535
Entity Type: Individual
Name: MRS. Jacqueline Jo Mitchell, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Apr 14, 2009
Last Updated: Apr 14, 2009

Practice Location

Address: 4600 38TH ST
City: Columbus
State: Nebraska
ZIP Code: 68601-1664
Phone: (402) 562-3333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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