Individual
BRITTANY RACHAEL BOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2844 TRACELAND DR, TUPELO, MS 38801-4200
(662) 680-3148
Mailing address
148 PALESTINE RD, PONTOTOC, MS 38863-9190
(662) 419-6964
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4241
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
314000000X
BLUE CROSS BLUE SHIELD
MS
Enumeration date
04/18/2012
Last updated
04/18/2012
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