IndividualActive
Breanna Humphrey
NPI 1043193352 · Athletic Trainer · Ridgeland, MS
Provider details
- NPI number
- 1043193352
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Student, Health Care
Practice location
750a Wicklow Pl
Ridgeland, MS 39157-1236
Phone: (601) 540-7780
Approximate (ZIP-level) locationGet directions
Mailing address
750a Wicklow Pl
Ridgeland, MS 39157-1236
Registry dates
- Enumerated
- 2025-07-26
- Last updated
- 2025-07-26
- Certified
- 2025-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.