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

Other providers in Lakeview