NPI 1689283376

Rebecca Shields, PTA

Practitioner Physical Therapy Assistant Kosciusko, MS

Practice location

Address: 108 Veterans Memorial Dr, Kosciusko, MS 39090-3849
Phone: (769) 777-4400
Fax: (768) 777-4401
Mailing address: 203 W Jefferson St, Kosciusko, MS 39090-3620

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA6468 (MS)

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Registry record

NPI: 1689283376
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jul 2020
Record last updated: 15 Sep 2021

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.