NPI 1659907707

Terrence Randell Mitchell, HAIRLOSSSPECIALIST

Practitioner Prosthetist Malvern, AR

Practice location

Address: 1004 Dyer St, Malvern, AR 72104-5255
Phone: (501) 732-6041
Mailing address: 327 Woodland St., Malvern, AR 72104

Registered specialties (3)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

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Prosthetic/Orthotic Supplier

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1659907707
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Mar 2020
Record last updated: 25 Apr 2022

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.