Individual provider · NPI-1
Alexandra Mitchell, L.Ac.
Acupuncturist · Southbury, CT
NPI number1275905085
StatusActive
Last updated in NPPESJun 8, 2023
Details
- NPI
- 1275905085
- Entity type
- Individual (NPI-1)
- Name
- Miss Alexandra Mitchell
- Credential
- L.Ac.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 20, 2015
- Certification date
- Jun 8, 2023
- Last updated
- Jun 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | 651 | CT | Yes |
Practice location
3 Pomperaug Office Park Ste 104Southbury, CT 06488-2287
Phone 203-586-1838
Mailing address
110 Meadowbrook RdSouthbury, CT 06488-1160
Phone 203-264-7408
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.