David Wesley Haggard
Individual provider Active NPI Physical Therapy Assistant · Philadelphia, MS
NPI 1629404348 · NPPES record last updated Sep 26, 2013
Key facts
- NPI
- 1629404348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- Practice address
- 1001 Holland Ave
Philadelphia, MS 39350-2161 - Phone
- (601) 663-1480
- NPI assigned
- Sep 26, 2013
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Yes |
Addresses
Primary practice location
1001 Holland Ave
Philadelphia, MS 39350-2161
Mailing address
4109 Highway 98 W
Summit, MS 39666-9132
Other providers in Philadelphia, MS
- Julie Gaines Joiner
- Adrianna Michelle Gardner
- Kathy Gray
- Donald Grant Guild
- Autumn Gurry
- Hancock Chiropractic Clinic, Inc.
- Scott Anthony Hancock
- Olivia P Heard
- Heartfelt Hospice, Inc.
- Willetta Henry
All providers in Philadelphia, MS · Physical Therapy Assistant in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.