IndividualActive
Kiarra Green, CTRS
NPI 1023794823 · Recreation Therapist · Jackson, MS
Provider details
- NPI number
- 1023794823
- Entity type
- Individual
- Primary specialty
- Recreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CTRS
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
G.v. (sonny) Montgomery Vamc 1500 E Woodrow Wilson Ave
Jackson, MS 39216
Phone: (601) 882-2897
Approximate (ZIP-level) locationGet directions
Mailing address
1500 E. Woodrow Wilson Ave.
Jackson, MS 39216
Registry dates
- Enumerated
- 2023-06-26
- Last updated
- 2023-06-26
- Certified
- 2023-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.