Corey White, PTA

Physical Therapy Assistant · Jackson, MS

Individual Active NPI

NPI number 1225396252

Practice location

1190 N State St
PT Department
Jackson, MS 39202-2413
Phone
(601) 968-1148
Fax
(601) 968-1337

Open in Google Maps

NPI record

NPI
1225396252
Entity type
Individual (Type 1)
Enumeration date
April 27, 2012
Last updated
April 27, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X PTA4900 MS

About Corey White

Corey White, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 1190 N State St, PT Department, Jackson, MS 39202-2413. The NPI number 1225396252 was assigned on April 27, 2012 and the record was last updated on April 27, 2012.

Corey White lists a license in the registry: #PTA4900 (MS) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Corey White, PTA?

The NPI number is 1225396252.

What is the phone number of Corey White?

The phone number listed for the practice location is (601) 968-1148.

Where is Corey White located?

1190 N State St, PT Department, Jackson, MS 39202-2413.

What is the taxonomy code for Corey White?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Physical Therapy Assistant providers in Jackson

All Physical Therapy Assistant providers in Jackson, MS →