NPI 1063664357

Ellen Pyeatt

Practitioner Physical Therapy Assistant Brookhaven, MS

Practice location

Address: 101 Mills St, Brookhaven, MS 39601-2521
Phone: (601) 250-4815
Mailing address: 1369 Auburn Dr SW, Bogue Chitto, MS 39629-8262

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA3533 (MS)

Other Physical Therapy Assistant providers in Mississippi →

Registry record

NPI: 1063664357
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Oct 2008
Record last updated: 17 Oct 2008

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.