IndividualActive
Brian Mitchell, PTA
NPI 1689892663 · Contractor · Oklahoma City, OK
Provider details
- NPI number
- 1689892663
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- 1402 (OK)
Specialties & taxonomies
Other Service Providers
Practice location
6525 N Meridian Ave
Suite 311
Oklahoma City, OK 73116-1420
Phone: (405) 721-1115
Fax: (866) 721-2025
Approximate (ZIP-level) locationGet directions
Mailing address
1823 S Lindsay Ave
Oklahoma City, OK 73129-4431
Registry dates
- Enumerated
- 2007-04-23
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.