Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CASSANDRA ALEXIS DEFORREST, ATC, LAT
ActiveCASSANDRA ALEXIS DEFORREST, ATC, LAT is a Sports Medicine (PM&R) healthcare provider located in BRANDON, Mississippi. NPI 1285142935 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · BRANDON, MS
Registration Details
- NPI Number
- 1285142935
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 16, 2018 (8.5358641367205 yrs)
- Last Updated
- Jan 16, 2018
- License
-
AT0843 (MS)
Practice Information
- Address
-
2015 HIGHPOINTE DRBRANDON, MS, 390423169Browse MS providers · Browse ZIP 39042
- Phone
- 6017247310
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
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.