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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. KELLY RAE SANTINE LANDRY, MPT

Active Sole Proprietor

MRS. KELLY RAE SANTINE LANDRY, MPT is a Physical Therapy Assistant healthcare provider located in DIBERVILLE, Mississippi. NPI 1396868568 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · DIBERVILLE, MS

Registration Details

NPI Number
1396868568
Provider Type
Individual
Gender
Female
NPI Issued
Apr 10, 2007 (19.202168785245 yrs)
Last Updated
Mar 12, 2012
License
PT2207 (MS)
Sole Proprietor
Yes

Practice Information

Address
4063 GINGER DR
SUITE C
DIBERVILLE, MS, 395403705
Browse MS providers · Browse ZIP 39540
Phone
2283540093
Fax
2283540094
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in DIBERVILLE, MS

Name Credential NPI
DR. ROBERT RAY ELLIS DPT 1881945566
MR. MICHAEL DENNIS ROGERS PT 1730427956
MRS. LATOYA CARSON PLUMMER PT, DPT 1366886970
BYRON CADE STEEN DPT 1174014690
DR. MELISSA ROSINTOSKI PT, DPT 1629628524
DR. ALYSSA FULLER MARTIN DPT 1649817388
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.