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Gregory Mitchell, M.A, L.A.T., A.T.C
NPI 1871520585 · on the registry since 2006
Practice
- Address
- 9732 W Wichita St
Boise, ID 83709 - Phone
- (208) 409-1857
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho