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

KAYMEN RUSSELL, PTA

Active

KAYMEN RUSSELL, PTA is a Occupational Therapist healthcare provider located in CANTON, Mississippi. NPI 1588400535 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · CANTON, MS

Registration Details

NPI Number
1588400535
Provider Type
Individual
Gender
Female
NPI Issued
Jul 8, 2024 (2.1379572701602 yrs)
Last Updated
Jul 8, 2024
License
PTA7166 (MS)

Practice Information

Address
3425 N LIBERTY ST
CANTON, MS, 390463761
Browse MS providers · Browse ZIP 39046
Phone
6016915132
Primary Specialty
Occupational Therapist
225200000X
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.