Individual
TAYLER ALEXIS TINGLE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
926 JACKSON AVE, PASCAGOULA, MS 39567-4345
(228) 769-0112
(228) 769-0199
Mailing address
926 JACKSON AVE, PASCAGOULA, MS 39567-4345
(228) 769-0112
(228) 769-0199
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
13067
TN
225100000X
Physical Therapist
Primary
CP015734T
MS
Other
Enumeration date
10/02/2020
Last updated
01/26/2023
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