Individual
MR. KYLE BRANNON CRAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
23 MASON ST, LAUREL, MS 39440-4437
(607) 399-0534
Mailing address
P.O BOX 524, SANDERSVILLE, MS 39477
(601) 428-0485
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3903
MS
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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