IndividualActive
Cynthia Dedeaux, ATC
NPI 1922338037 · Athletic Trainer · Kiln, MS
Provider details
- NPI number
- 1922338037
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- Yes
- License
- AT0044 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
21271 Lawrence Ladner Rd
Kiln, MS 39556-6490
Phone: (228) 493-8514
Fax: (228) 255-2515
Approximate (ZIP-level) locationGet directions
Mailing address
21271 Lawrence Ladner Rd
Kiln, MS 39556-6490
Registry dates
- Enumerated
- 2010-01-12
- Last updated
- 2010-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.