Provider Demographics
NPI:1003640806
Name:MITCHELL, ALEXANDRA KINCAID (PT, DPT)
Entity type:Individual
Prefix:MRS
First Name:ALEXANDRA
Middle Name:KINCAID
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11312 US 15 501 N STE 403
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-6377
Mailing Address - Country:US
Mailing Address - Phone:919-933-1110
Mailing Address - Fax:919-933-1150
Practice Address - Street 1:11312 US 15 501 N STE 403
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-6377
Practice Address - Country:US
Practice Address - Phone:919-933-1110
Practice Address - Fax:919-933-1150
Is Sole Proprietor?:No
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP23499225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist