Individual
CLAY CROSSWHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1325 E FORTIFICATION ST, JACKSON, MS 39202-2442
(601) 354-4488
(601) 914-1835
Mailing address
831 WILLOW GRANDE CIR, BRANDON, MS 39047-8352
(601) 613-2229
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5520
MS
Other
Enumeration date
09/05/2014
Last updated
12/19/2014
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