Individual provider · Type 1 NPI

Tracey Wallace Mitchell, L.P.T.A.

Physical Therapy Assistant · South Boston, VA

NPI number 1992923817 Active

Practice location

103 Rosehill Dr
South Boston, VA 24592-4843

Call (434) 572-4906 Map

Mailing address

1150 Jones Ferry Rd
South Boston, VA 24592-6078

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2306001473 (VA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1992923817

Tracey Wallace Mitchell, L.P.T.A.'s National Provider Identifier is 1992923817, issued on Apr 23, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in South Boston, VA. The record was last updated on Jul 8, 2007.