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

KELLY JEAN MACLAIN, PT

Active

Physical Therapy Assistant · SOUTHAVEN, MS

Registration Details

NPI Number
1932455870
Provider Type
Individual
Gender
Female
NPI Issued
Jul 30, 2012 (13.738585657805 yrs)
Last Updated
Mar 4, 2020
License
5147 (MS)

Practice Information

Address
391 SOUTHCREST CIR STE 205
SOUTHAVEN, MS, 386716729
Browse MS providers · Browse ZIP 38671
Phone
9012598401
Fax
9012592088
Primary Specialty
Physical Therapy Assistant
225100000X

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.