NPI 1720032139

Keisha L Black, RKT

Practitioner Kinesiotherapist Gautier, MS

Practice location

Address: 1603 Springridge Rd, Gautier, MS 39553-3123
Phone: (228) 497-8189

Registered specialties

Kinesiotherapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 226300000X

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Registry record

NPI: 1720032139
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 May 2006
Record last updated: 13 Jul 2026

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.