Most Relevant Information
Provider Data
| NPI Number: | 1003525080 |
| Provider Name: | MITCH HUNTLEY |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 2016032824 |
Most Important Dates
| Enumeration Date: | 11/18/2022 |
| Last Updated: | 11/18/2022 |
Provider Practice Location
1395 JUNGERMANN RD
SAINT PETERS
MO
633767369
Practice Location Phone/Fax
| Phone: | 6364472690 |
| Fax: |
Provider Mailing Location
1395 JUNGERMANN RD
SAINT PETERS
MO
633767369
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |