National Provider Identifier

Mitchell Wood Raymond, PT

Mitchell Wood Raymond, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Ithaca, NY and a listed phone number of (607) 273-8072.

NPI 1659678571Ithaca, NYPhysical Therapist

Profile Overview

NPI
1659678571
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
February 13, 2011
Last Updated
March 18, 2016

Practice Location

  • 1229 Trumansburg RD
  • Ithaca, NY 14850-1313

Phone: (607) 273-8072

Mailing Address

  • 1229 Trumansburg RD, Ithaca, Ny 14850
  • Ithaca, NY 14850

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1659678571
Entity Type
Individual
Last Name
Raymond
First Name
Mitchell
Middle Name
Wood
Credential
PT
Mailing Street Address
1229 Trumansburg RD, Ithaca, Ny 14850
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850
Mailing Country
US
Mailing Phone
(607) 273-8072
Practice Street Address
1229 Trumansburg RD
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-1313
Practice Country
US
Practice Phone
(607) 273-8072
Enumeration Date
February 13, 2011
Last Updated
March 18, 2016
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)