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Olivia Vita-Farnsworth, MS, LAT, ATC
NPI 1497163422 · on the registry since 2014
Practice
- Address
- 288 Lakeview Drive
Mississippi State, MS 39762 - Phone
- (662) 325-2165
- Fax
- (662) 325-5145
Additional practice sites
- 4400 University Dr, Fairfax, VA
- 4400 University Dr, Fairfax, VA
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 2255A2300X
- Licence states on file
- VA, MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-07-03
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