Krystal Davis

NPI 1730374174 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1730374174
Gender Female
Enumeration Date 09/10/2007
Last Updated 09/10/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
206 MARYLAND AVE
MCCOMB MS, 39648, US
Phone (601) 250-4815
Fax
Business Location
1699 LAWRENCE CONEHATTA RD
LAWRENCE MS, 39336, US
Phone
Fax
Toxanomy
Taxonomy Code 225200000X
License State Mississippi
License Number PTA3603
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According to our database, Krystal Davis NPI is 1730374174, taxonomy code is 225200000X and license number is PTA3603, license state is located at Mississippi. Krystal Davis physically located at 206 Maryland Ave, Mccomb MS, 39648. NPI Number Krystal Davis has the Individual type.

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1730374174 NPI number is provided on an as is basis without warranty of any kind. 1730374174 is maintained by the National Plan & Provider Enumeration System. The contents of Krystal Davis are for informational purposes only.