Madison Mitchell PTA

NPI # 

Practice Address:

2103 N Veterans Pkwy

Bloomington, IL, 61704-0908

Practice Phone:

309-948-6469

License Number:

160.010352

License State:

IL

Taxonomy Grouping:

Allopathic & Osteopathic Physicians

Taxonomy Classification:

Physical Medicine & Rehabilitation

Taxonomy Code:

208100000X

Updated by NPPES on 2/10/2025. You can view the original data set for NPI # 1922813609 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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Madison Mitchell , PTA 's

CMS CPT® coding data

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Madison Mitchell , PTA 's

CMS prescription data

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