NPI 1629670328
Breck Alan Mitchell, PTDPT
Practice location
- Address
- 501 S Madison St STE L, Webb City, MO 64870-2426
- Phone
- (417) 673-2156
- Fax
- (417) 673-2176
- Mailing address
- 1200 Corporate Dr STE 400, Hoover, AL 35242-5424
Registered specialties
Physical Therapist
Primary
Registry record
- NPI
- 1629670328
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 9 Nov 2020
- Record last updated
- 25 Jun 2021
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.