NPI 1255006037

Madison Grace Pena, PTA

Practitioner Physical Therapy Assistant Southaven, MS

Practice location

Address: 7580 Clarington Cv, Southaven, MS 38671-5657
Phone: (901) 259-1600
Fax: (901) 259-1698
Mailing address: 6077 Primacy Pkwy STE 140, Memphis, TN 38119-5754

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA7197 (MS)

Other Physical Therapy Assistant providers in Mississippi →

Registry record

NPI: 1255006037
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Aug 2021
Record last updated: 14 Nov 2023

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.