Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENDRA ALEXIS DEBERRY, PTA
ActiveMR. KENDRA ALEXIS DEBERRY, PTA is a Occupational Therapist healthcare provider located in OLIVE BRANCH, Mississippi. NPI 1104847094 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · OLIVE BRANCH, MS
Registration Details
- NPI Number
- 1104847094
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 23, 2006 (20.021222037041 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PA2517 (MS)
Practice Information
- Address
-
5600 GOODMAN RD STE DOLIVE BRANCH, MS, 386547002Browse MS providers · Browse ZIP 38654
- Phone
- 6628955454
- Fax
- 6628954546
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in OLIVE BRANCH, MS
| Name | Credential | NPI |
|---|---|---|
| MR. TRAVIS DALE HODGSON | PTA | 1386691632 |
| ODELLA CRIBBS | PTA | 1760511638 |
| KEVIN KOGOS | — | 1073996013 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.