Individual
MR. NICHOLAS MARTIN HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
7111 SOUTHCREST PKWY STE 105, SOUTHAVEN, MS 38671-4851
(901) 261-2506
(901) 261-2590
Mailing address
4869 STONE CROSS DR, OLIVE BRANCH, MS 38654-6989
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA5889
MS
Other
Enumeration date
11/22/2017
Last updated
10/24/2025
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