MR. Lars Mitchell, MPT OCS CSCS

NPI #1629035050 in Kingsley, Michigan

Provider Information

NPI Number: 1629035050
Entity Type: Individual
Name: MR. Lars Mitchell, MPT OCS CSCS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: MPT OCS CSCS
Enumeration Date: Apr 28, 2006
Last Updated: Apr 2, 2008

Practice Location

Address: 409 W MAIN ST
City: Kingsley
State: Michigan
ZIP Code: 49649-9481
Phone: (231) 263-1001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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