Provider Demographics
NPI:1790992899
Name:MITCHELL, APRIL M (MT)
Entity Type:Individual
Prefix:MS
First Name:APRIL
Middle Name:M
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:375 DOUGLAS AVE
Mailing Address - Street 2:SUITE 1004
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-3315
Mailing Address - Country:US
Mailing Address - Phone:407-788-7515
Mailing Address - Fax:407-877-3450
Practice Address - Street 1:375 DOUGLAS AVENUE
Practice Address - Street 2:SUITE 1004
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714
Practice Address - Country:US
Practice Address - Phone:407-788-7515
Practice Address - Fax:407-877-3450
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA47267225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMA47267OtherMASSAGE THERAPY LICENSE