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-- KIRSTEN LEANNA ASHLEY PTA

Individual Provider (NPI-1) Active

Physical Therapy Assistant

Provider Information

NPI Number
1396473807
Provider Type
Individual Provider (NPI-1)
Credentials
PTA
Status
Active

Contact & Location

Address
335 E BAY ST, MAGNOLIA, MS, 396522815
Phone
(601) 783-0220

Specialties & Taxonomies

Physical Therapy Assistant Primary License: MS #PTA5966

All Addresses

MAILING

PO BOX 457

MONTICELLO, MS, 396540457

(601) 587-2563

LOCATION

335 E BAY ST

MAGNOLIA, MS, 396522815

(601) 783-0220