IndividualActive
Brady Church, DPT
NPI 1881973329 · Physical Therapist · Laurel, MS
Provider details
- NPI number
- 1881973329
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- License
- 6627 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1707 W 20th St
Laurel, MS 39440-1802
Phone: (601) 428-2004
Fax: (601) 428-8833
Approximate (ZIP-level) locationGet directions
Mailing address
1707 W 20th St
Laurel, MS 39440-1802
Registry dates
- Enumerated
- 2011-08-16
- Last updated
- 2025-12-09
- Certified
- 2025-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.