Provider Demographics
NPI:1659546182
Name:MITCHELL, CATHERINE (MSPT)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 NW 68TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33150-4016
Mailing Address - Country:US
Mailing Address - Phone:786-266-3753
Mailing Address - Fax:305-757-3765
Practice Address - Street 1:140 NW 68TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33150-4016
Practice Address - Country:US
Practice Address - Phone:786-266-3753
Practice Address - Fax:305-757-3765
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-25
Last Update Date:2019-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT16606225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist