Provider Demographics
NPI:1578456257
Name:MITCHELL, CAROLYN (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:CAROLYN
Other - Middle Name:
Other - Last Name:SINGEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:21200 TAFT RD
Mailing Address - Street 2:
Mailing Address - City:NORTHVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48167-1033
Mailing Address - Country:US
Mailing Address - Phone:248-344-3550
Mailing Address - Fax:
Practice Address - Street 1:21200 TAFT RD
Practice Address - Street 2:
Practice Address - City:NORTHVILLE
Practice Address - State:MI
Practice Address - Zip Code:48167-1033
Practice Address - Country:US
Practice Address - Phone:248-344-3550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-31
Last Update Date:2025-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI55010062162251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics