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Individual

DR. KATHERINE GUTHRIE LEIST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
115 VILLAGE SQ STE E, BRANDON, MS 39047-6059
(601) 829-0505
(601) 829-0506
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 777-6236

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT003421
WV
225100000X
Physical Therapist
PT024093
PA
225100000X
Physical Therapist
Primary
PT5848
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200018765
MS
Enumeration date
11/21/2014
Last updated
05/06/2025
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