Individual
TAYTUM MACKENZIE REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
803A HIGHWAY 98 BYP, COLUMBIA, MS 39429-3710
(601) 444-0030
Mailing address
599C STEED RD, RIDGELAND, MS 39157-1707
(601) 308-4386
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT7830
MS
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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