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Contact Information

WILLIE DAVIS JR, RKT
701 DUKE AVE.
HATTIESBURG, MS39401
 Phone: 601-550-1164
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Day Training, Developmentally Disabled Services

251C00000X
Indicates primary specialty

NPI Profile & details for WILLIE DAVIS JR · (Male)

NPI # 1558778936
Status Active
Credentials RKT
Entity Individual
Enumeration date 07/17/2014
Last updated 07/17/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 1907
  • IL Other 1907 AMERICAN KINESIOTHERAPY ASSOCIATION
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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