Individual
DR. JASPER WINTON ADCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT, OTR/L, RHIA
Contact information
Practice address
1074 HIGHWAY 13 N, BRANDON, MS 39042-8568
(601) 825-0101
(016) 822-0541
Mailing address
48 SCR 58, MIZE, MS 39116-5703
(601) 477-2102
(601) 822-0541
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5208
MS
2255A2300X
Athletic Trainer
—
MS
225700000X
Massage Therapist
—
MS
225X00000X
Occupational Therapist
Primary
2664
MS
235Z00000X
Speech-Language Pathologist
—
MS
261QP2000X
Physical Therapy Clinic/Center
2664
MS
261QP2000X
Physical Therapy Clinic/Center
5208
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3185373
—
MS
Enumeration date
08/03/2012
Last updated
08/22/2025
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