Individual ProviderTeresa Ann MitchellPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address701 N Weinbach Ave, Suite 310, Evansville, IN 47711-5990(812) 479-3099(812) 424-2417PECOS EnrollmentBased on the most recent information from CMS, provider Teresa Ann Mitchell does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1992738868Provider TypeIndividualFull NameMitchell, Teresa AnnTitleMrs.CredentialP.T.GenderFemaleSole ProprietorYesEnumeration Date7/7/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address701 N Weinbach Ave, Suite 310, Evansville, IN 47711-5990Phone(812) 479-3099Fax(812) 479-3099Mailing LocationMailing Address5205 Westlake Dr, Evansville, IN 47712-7201Phone(812) 424-2417FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense05001914AIndianaProvider IdentifiersIDDescriptionIssuerID000000090420DescriptionOtherIssuerANTHEMIndiana