NPI 1184263048

Keizia Davidson, ATCLAC

Practitioner Athletic Trainer Ridgeland, MS

Practice location

Address: 153 Ripon CT, Ridgeland, MS 39157-1265
Phone: (601) 624-5953

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT0965 (MS)

Other Specialist/Technologist providers in Mississippi →

Registry record

NPI: 1184263048
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Dec 2019
Record last updated: 24 Dec 2019

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.