IndividualActive
Courtney Grimes, COTA/L
NPI 1275428708 · Occupational Therapy Assistant · Southaven, MS
Provider details
- NPI number
- 1275428708
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Male
- Sole proprietor
- No
- License
- 4044 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
5960 Getwell Rd
Southaven, MS 38672-7318
Phone: (662) 228-0130
Approximate (ZIP-level) locationGet directions
Mailing address
3615 Highway 4 W
Holly Springs, MS 38635-7205
Registry dates
- Enumerated
- 2025-06-12
- Last updated
- 2025-06-12
- Certified
- 2025-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.