| NPI Details | |
|---|---|
| NPI | 1134319486 |
| Gender | Male |
| Enumeration Date | 08/01/2007 |
| Last Updated | 03/08/2013 |
| Entity Type | Individual |
| Active | Over 10 years ago |
| Practice Location | |
|---|---|
| 715 HIGHWAY 45 BALDWYN MS, 38824-8591, US |
|
| Phone | (662) 365-5610 |
| Fax | (662) 365-5611 |
| Business Location | |
|---|---|
| PO BOX 366 715 HWY 45 BALDWYN MS, 38824-0366, US |
|
| Phone | (662) 365-5610 |
| Fax | (662) 365-5611 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 225100000X |
| License State | Mississippi |
| License Number | PT2339 |
| Remove 1134319486 NPI Number | |
According to our database, Craig S Bertelsen PT, CERT MDT NPI is 1134319486, taxonomy code is 225100000X and license number is PT2339, license state is located at Mississippi. Craig S Bertelsen PT, CERT MDT physically located at 715 Highway 45, Baldwyn MS, 38824-8591. NPI Number Craig S Bertelsen PT, CERT MDT has the Individual type.
Sponsored links
1134319486 NPI number is provided on an as is basis without warranty of any kind. 1134319486 is maintained by the National Plan & Provider Enumeration System. The contents of Craig S Bertelsen PT, CERT MDT are for informational purposes only.
Sponsored links