Individual
JAYDEN GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1102 CONSTITUTION AVE FL 3, MERIDIAN, MS 39301-4001
(601) 703-5000
Mailing address
3683 HIGHWAY 514, MERIDIAN, MS 39301-7943
(601) 917-2272
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA6937
MS
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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