Individual
MR. NATHANIEL LEE SEXTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
6300 E LAKE BLVD STE 101, VANCLEAVE, MS 39565-6771
(228) 215-2240
(228) 215-2241
Mailing address
711 AVIGNON DR, RIDGELAND, MS 39157-5120
(601) 605-6777
(601) 607-1553
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5091
MS
Other
Enumeration date
07/18/2012
Last updated
08/01/2024
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