Madison Grissett Lewis, PT, DPT

NPI #1679345771 in Pascagoula, Mississippi

Provider Information

NPI Number: 1679345771
Entity Type: Individual
Name: Madison Grissett Lewis, PT, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Oct 23, 2023
Last Updated: Oct 23, 2023

Practice Location

Address: 2809 DENNY AVE
City: Pascagoula
State: Mississippi
ZIP Code: 39581-5301
Phone: (228) 809-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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