NPI 1205193075
Brittany Rachael Box, PTA
Practice location
- Address
- 2844 Traceland Dr, Tupelo, MS 38801-4200
- Phone
- (662) 680-3148
- Mailing address
- 148 Palestine Rd, Pontotoc, MS 38863-9190
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1205193075
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 18 Apr 2012
- Record last updated
- 18 Apr 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.