Individual
MISCHELLE C VINING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3106 OLD CANTON RD STE B, JACKSON, MS 39216-4219
(769) 358-0432
(601) 510-9612
Mailing address
101 HAND DR, FLOWOOD, MS 39232-8303
(769) 358-0432
(601) 510-9612
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1716
MS
Other
Enumeration date
06/03/2022
Last updated
10/29/2025
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