IndividualActive
Carrie Mitchell, PTA
NPI 1104104116 · Physical Therapy Assistant · Boothbay Harbor, ME
Provider details
- NPI number
- 1104104116
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- PA1725 (ME)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
6 Saint Andrews Ln
Boothbay Harbor, ME 04538-1731
Phone: (207) 633-1928
Fax: (207) 386-0181
Approximate (ZIP-level) locationGet directions
Mailing address
6 Saint Andrews Ln
Boothbay Harbor, ME 04538-1731
Registry dates
- Enumerated
- 2011-07-25
- Last updated
- 2024-04-01
- Certified
- 2024-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.