Individual
MRS. KATHRYN NICHOLE DEPRIEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
12667 MS HIGHWAY 12 W, STARKVILLE, MS 39759-6054
(601) 562-3931
Mailing address
12667 MS HIGHWAY 12 W, STARKVILLE, MS 39759-6054
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA5511
MS
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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