NPI 1104743145

Millie Grace Mask, PT

Practitioner Physical Therapist Brandon, MS

Practice location

Address: 2015 Highpointe Dr, Brandon, MS 39042-3169
Phone: (601) 724-8886
Fax: (601) 724-8887
Mailing address: 25025 Highway 15, Union, MS 39365-8577

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PT8157 (MS)

Other Physical Therapist providers in Mississippi →

Registry record

NPI: 1104743145
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Jul 2026
Record last updated: 1 Jul 2026

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.