Taylor Mackenzie Braddock, PT, DPT
NPI #1659030450 in Walnut, Mississippi
Provider Information
- NPI Number
- 1659030450
- Entity Type
- Individual
- Name
- Taylor Mackenzie Braddock, PT, DPT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Clinic/Center - Physical Therapy
- Credential
- PT, DPT
- Enumeration Date
- Dec 9, 2021
- Last Updated
- Dec 9, 2021
Practice Location
- Address
- 130A JAMES OTIS SMITH DRIVE
- City
- Walnut
- State
- Mississippi
- ZIP Code
- 38683
- Phone
- (662) 223-0047
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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