NPI 1487007167

Detric Griffin

Practitioner Physical Therapy Assistant Kosciusko, MS

Practice location

Address: 2191 Attala Road 1006, Kosciusko, MS 39090-6146
Phone: (662) 739-1320

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 5972 (MS)

Other Physical Therapy Assistant providers in Mississippi →

Registry record

NPI: 1487007167
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jul 2016
Record last updated: 19 Jul 2016

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.