Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LESLIE DIANE WILSON, PT
ActiveLESLIE DIANE WILSON, PT is a Physical Therapy Assistant healthcare provider located in SOUTHAVEN, Mississippi. NPI 1639424799 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · SOUTHAVEN, MS
Registration Details
- NPI Number
- 1639424799
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 16, 2012 (14.054808920293 yrs)
- Last Updated
- Mar 25, 2025
- Licenses
-
PT017702 (OH)PT017702 (OH)PT5223 (MS)
Practice Information
- Address
-
3451 GOODMAN RD E STE 108SOUTHAVEN, MS, 386729305Browse MS providers · Browse ZIP 38672
- Phone
- 6628906953
- Fax
- 6628906954
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Ergonomics (Occupational Therapy)
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in SOUTHAVEN, MS
| Name | Credential | NPI |
|---|---|---|
| CASEY B MCGHEE | P.T. | 1164425088 |
| ADAM BROOKS RISINGER | P.T. | 1508869462 |
| DR. AMY RENAE GRAHAM | DPT | 1467410969 |
| MR. BRETT ALLEN RIVERS | PT | 1811928823 |
| MRS. BARBARA BEARD BARNETT | P.T. | 1306852223 |
| MICHAEL NEWTON PHILLIPS | PT | 1063520294 |
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.