IndividualActive
Brelon Bryant, LPTA
NPI 1841853033 · Physical Therapy Assistant · Summit, MS
Provider details
- NPI number
- 1841853033
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LPTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 6512 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4109 Highway 98 W
Summit, MS 39666-9132
Phone: (601) 276-3900
Approximate (ZIP-level) locationGet directions
Mailing address
826 Primos Ave
Jackson, MS 39209-6137
Registry dates
- Enumerated
- 2019-04-15
- Last updated
- 2019-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.