NPI 1003378027

Susan Jane Mitchell

Practitioner Massage Therapist Ithaca, NY

Practice location

Address: 122 W Court St STE 106, Ithaca, NY 14850-4165
Phone: (607) 288-2205
Mailing address: 1212 Trumansburg Rd, Ithaca, NY 14850-1314

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 030302 (NY)

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Registry record

NPI: 1003378027
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Apr 2019
Record last updated: 19 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.