IndividualActive
Willie Davis, RKT
NPI 1558778936 · Developmentally Disabled Services Day Training Agency · Hattiesbiurg, MS
Provider details
- NPI number
- 1558778936
- Entity type
- Individual
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Credential
- RKT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1907 (IL)
Mailing address
701 Duke Ave
Hattiesburg, MS 39401-4060
Registry dates
- Enumerated
- 2014-07-17
- Last updated
- 2014-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.