IndividualActive
Mark Harris, PT
NPI 1063805240 · Geriatric Physical Therapist · Gulfport, MS
Provider details
- NPI number
- 1063805240
- Entity type
- Individual
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- License
- PT3297 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
15476a Dedeaux Rd
Gulfport, MS 39503-2637
Phone: (228) 539-3232
Approximate (ZIP-level) locationGet directions
Mailing address
106 Oaks Blvd
Bay St Louis, MS 39520-3016
Registry dates
- Enumerated
- 2015-03-11
- Last updated
- 2015-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.