IndividualActive
Leavern Guy, R.K.T.
NPI 1912009903 · Kinesiotherapist · Picayune, MS
Provider details
- NPI number
- 1912009903
- Entity type
- Individual
- Primary specialty
- KinesiotherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- R.K.T.
- Sex
- Male
- Sole proprietor
- No
- License
- 1720 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
925 Clover Cir
Picayune, MS 39466-5436
Phone: (601) 273-1070
Approximate (ZIP-level) locationGet directions
Mailing address
925 Clover Cir
Picayune, MS 39466-5436
Registry dates
- Enumerated
- 2006-09-01
- Last updated
- 2009-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.