Edward Kevin Mizell, PT
Physical Therapist in Covington, LA. Individual provider (NPI-1).
NPI number1669900858
StatusActive
Last updated in NPPESJun 1, 2017
Details
- NPI
- 1669900858
- Entity type
- Individual (NPI-1)
- Name
- Edward Kevin Mizell
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 1, 2017
- Last updated
- Jun 1, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 000616 | LA | Yes |
Practice location
1414 S Tyler StCovington, LA 70433-2334
Phone 985-894-4622
Mailing address
1414 S Tyler StCovington, LA 70433-2334
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All 109 Physical Therapist providers in Covington · All 2,520 providers in Covington
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