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

Individual provider Specialist · NPI 1053635755

Deitra T Mixer is a Specialist in Cane Ridge, Tennessee. Practices as a sole proprietor. Registered with an NPI since 2010.

In the registry since
2010
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Practice location Address checks out

8221 Lenox Creekside Dr Unit 7
Cane Ridge, TN 37013-4657
Phone: (615) 417-3321
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1053635755
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 24, 2010
Last updated in NPPESMarch 24, 2010