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FREDDIE LAREDIA MITCHELL
NPI 1972382505
Prosthetic/Orthotic Supplier in Jackson, TN

Active since September 25, 2023
26 BRENTSHIRE SQ STE R, JACKSON, TN 38305(731) 343-5313 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Freddie Laredia Mitchell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FREDDIE LAREDIA MITCHELL (NPI 1972382505) is an individual prosthetic/orthotic supplier provider in Jackson, Tennessee and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1972382505
Entity TypeIndividualFemale
Primary Taxonomy335E00000X
Provider Legal NameFREDDIE LAREDIA MITCHELL
Location Address26 BRENTSHIRE SQ STE RJackson, TN 38305-2265
Mailing Address24 May DrJackson, TN 38305-4643 · (731) 343-5313
Phone(731) 343-5313
Sole ProprietorYes
Enumeration DateSeptember 25, 2023
NPPES CertifiedSeptember 23, 2023
✔ NPI 1972382505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
26 BRENTSHIRE SQ STE R, Jackson, TN 38305
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Freddie Mitchell's NPI number?

The NPI number for Freddie Mitchell is 1972382505. It was assigned to this individual provider in the NPPES registry on September 25, 2023.

Where is Freddie Mitchell located?

Freddie Mitchell practices at 26 Brentshire Sq Ste R, Jackson, TN 38305. The listed phone number is (731) 343-5313.

What is Freddie Mitchell's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Freddie Mitchell was last updated on September 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.