Individual
CALEB CREEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1850 CHADWICK DR, JACKSON, MS 39204-3404
(601) 376-1000
Mailing address
917 1/2 MONROE ST, CLINTON, MS 39056-3731
(601) 781-0518
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6490
MS
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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