IndividualActive
Alys Minckler, OT
NPI 1922481548 · Occupational Therapist · Vicksburg, MS
Provider details
- NPI number
- 1922481548
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OT
- Sex
- Female
- Sole proprietor
- No
- License
- OT1603 (MS)
Practice location
1901a Mission 66
Vicksburg, MS 39180-3711
Phone: (601) 638-4076
Fax: (601) 883-2232
Mailing address
1901a Mission 66
Vicksburg, MS 39180-3711
Registry dates
- Enumerated
- 2015-06-30
- Last updated
- 2015-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.