Mrs. Susan Jane Mitchell
Massage Therapist
120 W State St Ste 5
Ithaca
, New York 14850-5441
Mrs. Susan Jane Mitchell
Massage Therapist
120 W State St Ste 5
Ithaca
, New York 14850-5441
(845) 807-4605
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About
Features
Specialties
- Massage Therapist
Languages spoken
- English
Location
First Address
- Mrs. Susan Jane Mitchell
- 3a Knollwood Dr
- Freeville, NY
- Zip : 13068-9638
- Phone : (845) 807-4605
Second Address
- Mrs. Susan Jane Mitchell
- 120 W State St Ste 5
- Ithaca, NY
- Zip : 14850-5441
- Phone : (845) 807-4605
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 030302 | NY |
National Provider Identifier
| NPI | 1003378027 |
|---|---|
| Provider Name | Mrs. Susan Jane Mitchell |
| First Address | Freeville, NY 13068-9638 |
| Second Address | Ithaca, NY 14850-5441 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/04/2019 |
| Last Update Date | 01/04/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.