Individual
MISS ASHLEY BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 HOSPITAL RD, STARKVILLE, MS 39759-2125
(662) 323-6360
Mailing address
60469 SMITHVILLE RD, SMITHVILLE, MS 38870-9787
(662) 213-2862
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-7400
MS
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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