Provider Demographics
NPI:1326126541
Name:MITCHELL, BRITTANY N (PT)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:N
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:N
Other - Last Name:HANLON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:101 DANIEL DR
Mailing Address - Street 2:
Mailing Address - City:HAZARD
Mailing Address - State:KY
Mailing Address - Zip Code:41701-1613
Mailing Address - Country:US
Mailing Address - Phone:606-439-3054
Mailing Address - Fax:
Practice Address - Street 1:125 S LIBERTY ST
Practice Address - Street 2:
Practice Address - City:BARBOURVILLE
Practice Address - State:KY
Practice Address - Zip Code:40906-1437
Practice Address - Country:US
Practice Address - Phone:606-546-4985
Practice Address - Fax:606-546-4965
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY004810225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist