Alise R Fairley, DPT

NPI #1952286114 in Poplarville, Mississippi

Provider Information

NPI Number: 1952286114
Entity Type: Individual
Name: Alise R Fairley, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Aug 7, 2025
Last Updated: Aug 7, 2025

Practice Location

Address: 1227 S MAIN ST
City: Poplarville
State: Mississippi
ZIP Code: 39470-3317
Phone: (601) 365-9868

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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