Individual
MICKAEYA SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 PROFESSIONAL PL, GREENWOOD, MS 38930-2756
(662) 477-0716
(662) 477-0717
Mailing address
103 PROFESSIONAL PL, GREENWOOD, MS 38930-2756
(662) 477-0716
(662) 477-0717
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
05/03/2025
Last updated
05/03/2025
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