Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mitchell Todd Bodiford

Individual provider Physical Therapist · NPI 1619661485

Mitchell Todd Bodiford is a Physical Therapist in Lakeview, Oregon. Works from 2 locations. Licensed in Oregon and Tennessee.

Licensed in
OR, TN
In the registry since
2023
Specialties on file
2

Practice location Address checks out

700 S J St
Lakeview, OR 97630-1623
Phone: (541) 947-2114
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1700 W Market St, Bolivar, TN 38008-1653 — (731) 658-2206

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 15287 (TN)
Physical Therapist Taxonomy 225100000X · Licence 64939 (OR)

Record details

NPI number1619661485
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 5, 2023
Last updated in NPPESJanuary 30, 2026
Certification dateJanuary 30, 2026
Mailing address700 S J St, Lakeview, OR 97630-1623

Other providers in Lakeview