NPI 1023369105

Andrea Heard Liess, PT

Practitioner Physical Therapist Madison, MS

Practice location

Address: 100 Cedar Woods Dr, Madison, MS 39110-6591
Phone: (601) 853-8824

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PT5001 (MS)

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Registry record

NPI: 1023369105
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Sep 2012
Record last updated: 28 Sep 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.