Whalio Doctors

NPI 1598954703

Kelly Michelle Smallwood, PTA

Practitioner Physical Therapy Assistant Brookhaven, MS

Practice location

Address
300 Highway 51 N, Brookhaven, MS 39601-2349
Phone
(601) 833-7317
Fax
(601) 835-0995

Registered specialties

Physical Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA3648 (MS)

Registry record

NPI
1598954703
Entity type
Individual
Sex (as registered)
Female
NPI issued
24 Oct 2007
Record last updated
24 Oct 2007

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.