IndividualActive
Cassandra Deforrest, ATC, LAT
NPI 1285142935 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Brandon, MS
Provider details
- NPI number
- 1285142935
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Credential
- ATC, LAT
- Sex
- Female
- Sole proprietor
- No
- License
- AT0843 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2015 Highpointe Dr
Brandon, MS 39042-3169
Phone: (601) 724-7310
Approximate (ZIP-level) locationGet directions
Mailing address
861 Westerly Dr
Brandon, MS 39042-9579
Registry dates
- Enumerated
- 2018-01-16
- Last updated
- 2018-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.