NPI 1912009903

Leavern Guy, RKT

Practitioner Kinesiotherapist Picayune, MS

Practice location

Address: 925 Clover Cir, Picayune, MS 39466-5436
Phone: (601) 273-1070

Registered specialties

Kinesiotherapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 226300000X Licence 1720 (IL)

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Registry record

NPI: 1912009903
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Sep 2006
Record last updated: 8 Jan 2009

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.