Individual
SARAH WHITESIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2304 19TH ST, GULFPORT, MS 39501-2903
(228) 326-8240
Mailing address
725 OLEANDER LN, BILOXI, MS 39532-4131
(228) 326-8240
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5716
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009472561
—
MS
01
—
1003819608
GROUP NPI
MS
05
—
529917620
—
MS
Enumeration date
09/03/2015
Last updated
02/12/2026
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