IndividualActive
Clay Mitchell, PTA
NPI 1902685126 · Physical Therapy Assistant · Wickenburg, AZ
Provider details
- NPI number
- 1902685126
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- PTA-014721 (AZ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1175 W Wickenburg Way Ste 3
Wickenburg, AZ 85390-2262
Phone: (928) 668-0108
Approximate (ZIP-level) locationGet directions
Mailing address
1175 W Wickenburg Way Ste 3
Wickenburg, AZ 85390-2262
Registry dates
- Enumerated
- 2023-09-26
- Last updated
- 2023-09-26
- Certified
- 2023-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.