IndividualActive
Beverly Dedual
NPI 1932825809 · Athletic Trainer · Saucier, MS
Provider details
- NPI number
- 1932825809
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 1124 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
18114 S Village Dr
Saucier, MS 39574-6520
Phone: (228) 263-4352
Approximate (ZIP-level) locationGet directions
Mailing address
18114 S Village Dr
Saucier, MS 39574-6520
Registry dates
- Enumerated
- 2022-10-12
- Last updated
- 2024-01-11
- Certified
- 2024-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.