Individual
JAMES DALE SKAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
60 HARVEST CIR, PETAL, MS 39465-6826
(601) 335-5337
Mailing address
60 HARVEST CIR, PETAL, MS 39465-6826
(601) 335-5337
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8251
MS
225200000X
Physical Therapy Assistant
CP060360A
OR
Other
Enumeration date
07/28/2026
Last updated
07/28/2026
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