NPI 1275428708

Courtney Grimes, COTAL

Practitioner Occupational Therapy Assistant Southaven, MS

Practice location

Address: 5960 Getwell Rd, Southaven, MS 38672-7318
Phone: (662) 228-0130
Mailing address: 3615 Highway 4 W, Holly Springs, MS 38635-7205

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 4044 (MS)

Other Occupational Therapy Assistant providers in Mississippi →

Registry record

NPI: 1275428708
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jun 2025
Record last updated: 12 Jun 2025

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.