NPI 1265495154

Deidra K Cockroft, PT

Practitioner Physical Therapist Kosciusko, MS

Practice location

Address: 130 Parkway Plz, Kosciusko, MS 39090-3217
Phone: (662) 289-3588
Fax: (662) 289-3533
Mailing address: PO Box 23996, Jackson, MS 39225-3996

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PT1152 (MS)

Other Physical Therapist providers in Mississippi →

Registry record

NPI: 1265495154
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Apr 2006
Record last updated: 31 Mar 2022

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.