Whalio Doctors

NPI 1285142935

Cassandra Alexis Deforrest, ATCLAT

Practitioner Sports Medicine (Physical Medicine & Rehabilitation) Physician Brandon, MS

Practice location

Address
2015 Highpointe Dr, Brandon, MS 39042-3169
Phone
(601) 724-7310
Mailing address
861 Westerly Dr, Brandon, MS 39042-9579

Registered specialties

Sports Medicine (Physical Medicine & Rehabilitation) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2081S0010X Licence AT0843 (MS)

Registry record

NPI
1285142935
Entity type
Individual
Sex (as registered)
Female
NPI issued
16 Jan 2018
Record last updated
16 Jan 2018

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.