Individual
KRISTEN QUALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-2905
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-2905
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7828
MS
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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