NPI 1134412703

Kayla Jacoby

Practitioner Physical Therapy Assistant Philadelphia, MS

Practice location

Address: 1001 Holland Ave, Philadelphia, MS 39350-2161
Phone: (601) 663-1296
Mailing address: 4109 Highway 98 W, Summit, MS 39666-9132

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA4611 (MS)

Other Physical Therapy Assistant providers in Mississippi →

Registry record

NPI: 1134412703
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 May 2011
Record last updated: 16 May 2011

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.