Keith Lashawn Mitchell, LMT

NPI #1265049951 in Casselberry, Florida

Provider Information

NPI Number: 1265049951
Entity Type: Individual
Name: Keith Lashawn Mitchell, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Sep 26, 2020
Last Updated: Sep 26, 2020

Practice Location

Address: 2437 LAKE VISTA CT APT 307
City: Casselberry
State: Florida
ZIP Code: 32707-6470
Phone: (407) 308-2893

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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