NPI 1306350640

Nicholas Martin Harris, PTA

Practitioner Physical Therapy Assistant Southaven, MS

Practice location

Address: 7111 Southcrest Pkwy STE 105, Southaven, MS 38671-4851
Phone: (901) 261-2506
Fax: (901) 261-2590
Mailing address: 4869 Stone Cross Dr, Olive Branch, MS 38654-6989

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA5889 (MS)

Other Physical Therapy Assistant providers in Mississippi →

Registry record

NPI: 1306350640
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Nov 2017
Record last updated: 24 Oct 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.