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

Tracey Wallace Mitchell, LPTA

Individual provider Physical Therapy Assistant · NPI 1992923817

Tracey Wallace Mitchell, LPTA is a Physical Therapy Assistant in South Boston, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2007

Practice location Address checks out

103 Rosehill Dr
South Boston, VA 24592-4843
Phone: (434) 572-4906
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2306001473 (VA)

Record details

NPI number1992923817
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPTA
Sole proprietorYes
NPI enumeratedApril 23, 2007
Last updated in NPPESJuly 8, 2007
Mailing address1150 Jones Ferry Rd, South Boston, VA 24592-6078

Other providers in South Boston