Individual provider · Type 1 NPI
Myia Mitchell
Massage Therapist · Milwaukee, WI
NPI number
1164807889
Active
Practice location
6012 W. North Avenue
Milwaukee, WI 53213
Mailing address
PO Box 100144
Milwaukee, WI 53210-0144
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 7296-085 (WI) |
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 1164807889
Myia Mitchell's National Provider Identifier is 1164807889, issued on Jul 23, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Milwaukee, WI. The record was last updated on Jul 23, 2015.