Jeremy Wooten, PT, DPT

NPI 1609499946 · on the registry since 2020

Practice

Address: 6300 E Lake Blvd Ste 101
Vancleave, MS 39565
Phone: (228) 215-2240
Fax: (228) 215-2241
Organisation at this address: Bienville Therapy, Llc
Bienville Surgery Center, Llc
Bienville Orthopaedic Specialists, Llc
Bienville Orthopaedic Specialists, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 32

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: MS
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-04-22

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