Individual
MS. JACQUELINE KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
485 WINDSOR CIR, TUPELO, MS 38804-8037
(662) 231-1015
Mailing address
485 WINDSOR CIR, TUPELO, MS 38804-8037
(662) 231-1015
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
02/24/2010
Last updated
02/24/2010
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