Individual
KIRSTEN LEANNA ASHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
335 E BAY ST, MAGNOLIA, MS 39652-2815
(601) 783-0220
Mailing address
PO BOX 457, MONTICELLO, MS 39654-0457
(601) 587-2563
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA5966
MS
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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