Individual
DR. AMY RENAE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5847 GETWELL RD STE A5, SOUTHAVEN, MS 38672-6816
(662) 349-9288
(662) 349-9289
Mailing address
5847 GETWELL RD STE A5, SOUTHAVEN, MS 38672-6816
(662) 349-9288
(662) 349-9289
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3683
MS
225100000X
Physical Therapist
PT7982
TN
Other
Enumeration date
05/03/2006
Last updated
04/29/2026
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