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

MS. KEISHA L BLACK, RKT

Active

MS. KEISHA L BLACK, RKT is a Occupational Therapist healthcare provider located in GAUTIER, Mississippi. NPI 1720032139 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · GAUTIER, MS

Registration Details

NPI Number
1720032139
Provider Type
Individual
Gender
Female
NPI Issued
May 20, 2006 (20.202487616074 yrs)
Last Updated
Jul 8, 2007

Practice Information

Address
1603 SPRINGRIDGE RD
GAUTIER, MS, 395533123
Browse MS providers · Browse ZIP 39553
Phone
2284978189
Primary Specialty
Occupational Therapist
226300000X
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.