Individual
KELSEY WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2136 STATELINE RD W STE B-C, SOUTHAVEN, MS 38671-1210
(901) 335-4135
Mailing address
7321 VAIDEN RD, HERNANDO, MS 38632-9176
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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