NPI 1023397643

Vanessa Ann Mitchell, LMT

Practitioner Specialist Ormond Beach, FL

Practice location

Address: 115 E Granada Blvd STE 9&10, Ormond Beach, FL 32176-6680
Phone: (386) 641-0837
Mailing address: 1290 Fernway Dr, Ormond Beach, FL 32174-6046

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence MA64397 (FL)

Other Specialist providers in Florida →

Registry record

NPI: 1023397643
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Aug 2011
Record last updated: 13 Aug 2011

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.