NPI 1295290872

Laura Grant

Practitioner Clinical Exercise Physiologist Mound Bayou, MS

Practice location

Address: 702 Martin Luther King St, Mound Bayou, MS 38762-9314
Phone: (662) 402-5997
Mailing address: PO Box 900, Mound Bayou, MS 38762-0900

Registered specialties

Clinical Exercise Physiologist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Y00000X

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Registry record

NPI: 1295290872
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Feb 2019
Record last updated: 7 Feb 2019

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.