Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TAYLOR MACKENZIE BRADDOCK, PT, DPT
Active Sole ProprietorTAYLOR MACKENZIE BRADDOCK, PT, DPT is a Physical Therapy Clinic healthcare provider located in WALNUT, Mississippi. NPI 1659030450 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Clinic · WALNUT, MS
Registration Details
- NPI Number
- 1659030450
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 9, 2021 (4.6496900970413 yrs)
- Last Updated
- Dec 9, 2021
- License
-
7204 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
130A JAMES OTIS SMITH DRIVEWALNUT, MS, 38683Browse MS providers · Browse ZIP 38683
- Phone
- 6622230047
- Primary Specialty
-
Physical Therapy Clinic
261QP2000X
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.