IndividualActive
Keisha Black, RKT
NPI 1720032139 · Kinesiotherapist · Gautier, MS
Provider details
- NPI number
- 1720032139
- Entity type
- Individual
- Primary specialty
- KinesiotherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- RKT
- Sex
- Female
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1603 Springridge Rd
Gautier, MS 39553-3123
Phone: (228) 497-8189
Approximate (ZIP-level) locationGet directions
Mailing address
1603 Springridge Rd
Gautier, MS 39553-3123
Registry dates
- Enumerated
- 2006-05-20
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.