Provider Demographics
NPI:1649923384
Name:MITCHELL, ALISHA (PT, DPT)
Entity type:Individual
Prefix:
First Name:ALISHA
Middle Name:
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:ALISHA
Other - Middle Name:
Other - Last Name:BABIES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:380 STEVENS AVE STE 314
Mailing Address - Street 2:
Mailing Address - City:SOLANA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92075-2069
Mailing Address - Country:US
Mailing Address - Phone:858-755-5200
Mailing Address - Fax:858-755-5201
Practice Address - Street 1:1488 PIONEER WAY STE 13
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-1633
Practice Address - Country:US
Practice Address - Phone:858-755-5200
Practice Address - Fax:619-343-3514
Is Sole Proprietor?:No
Enumeration Date:2022-02-02
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA301187225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist