SearchMississippi2255A2300X

Stephanie Smith, ATC/L

NPI 1699205120 · on the registry since 2017 · sole proprietor

Practice

Address
415 S 28th Ave
Hattiesburg, MS 39401
Phone
(601) 264-5203
Fax
(601) 264-5203
Organisation at this address
Hattiesburg Clinic Pa
Hattiesburg Clinic Pa
Hattiesburg Clinic Pa
Hattiesburg Clinic Pa
Hattiesburg Clinic Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
352

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-07-21

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