Individual provider · Type 1 NPI
Susan Jane Mitchell
Massage Therapist · Ithaca, NY
NPI number
1003378027
Active
Practice location
122 W Court St Ste 106
Ithaca, NY 14850-4165
Mailing address
1212 Trumansburg Rd
Ithaca, NY 14850-1314
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 030302 (NY) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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About NPI 1003378027
Susan Jane Mitchell's National Provider Identifier is 1003378027, issued on Apr 1, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Ithaca, NY. The record was last updated on Jun 19, 2024.