Individual
TY O'KEITH ASHLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
427 S 15TH AVE, HATTIESBURG, MS 39401-6248
(601) 310-5993
Mailing address
PO BOX 644, COLLINS, MS 39428-0644
(601) 310-5993
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 2969
MS
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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