Individual
TERRY MANN CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
513 ACADEMY RD, STARKVILLE, MS 39759-4021
(662) 268-8013
(662) 268-8095
Mailing address
513 ACADEMY RD, STARKVILLE, MS 39759-4021
(662) 268-8013
(662) 268-8095
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2972
MS
Other
Enumeration date
09/23/2013
Last updated
09/23/2013
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