SearchMississippi2255A2300X

Keizia Davidson, ATC, LAC

NPI 1184263048 · on the registry since 2019 · sole proprietor

Practice

Address
153 Ripon Ct
Ridgeland, MS 39157
Phone
(601) 624-5953

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-12-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi