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Tait Carlisle, LAT, ATC
NPI 1508384835 · on the registry since 2017
Practice
- Address
- 118 College Dr
Hattiesburg, MS 39406 - Phone
- (601) 266-5104
- Organisation at this address
- Beth Felder, Md. Llc
University Of Southern Mississippi
The University Of Southern Mississippi
The University Of Southern MississippiInferred from a shared address, not stated in the registry. - Clinicians at this address
- 49
Additional practice sites
- 718 Magnolia Drive, Tuscaloosa, AL
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 2255A2300X
390200000X - Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-08-30
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