Individual
KELLYE REEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
(601) 276-3900
Mailing address
4109 HIGHWAY 98 W, SUMMIT, MS 39666
(601) 276-3900
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5821
MS
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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