SearchMississippi261QP2000X

Taylor Braddock, PT, DPT

NPI 1659030450 · on the registry since 2021 · sole proprietor

Practice

Address
130a James Otis Smith Drive
Walnut, MS 38683
Phone
(662) 223-0047
Clinicians at this address
2

Additional practice sites

  • 710 City Ave N, Ripley, MS

Registry record

Primary taxonomy
261QP2000X
261QP2000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-12-09

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