Search › Mississippi › 225200000X
Kelly Smallwood, PTA
NPI 1598954703 · on the registry since 2007
Practice
- Address
- 300 Highway 51 N
Brookhaven, MS 39601 - Phone
- (601) 833-7317
- Fax
- (601) 835-0995
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-10-24
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