Individual
KECIA MICHELLE YELVERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2 OLD RIVER PL STE E, JACKSON, MS 39202-3435
(601) 292-6024
(601) 292-6025
Mailing address
199 N BROOKMOORE DR, COLUMBUS, MS 39705-2024
(662) 327-6705
(662) 327-6760
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT825
MS
Other
Enumeration date
06/19/2017
Last updated
06/19/2017
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