IndividualActive
Devonda Elliott
NPI 1962029389 · Recreation Therapist · Jackson, MS
Provider details
- NPI number
- 1962029389
- Entity type
- Individual
- Primary specialty
- Recreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Practice location
1500 E Woodrow Wilson Ave
Jackson, MS 39216-5116
Phone: (601) 364-4471
Mailing address
1500 E Woodrow Wilson Ave
Jackson, MS 39216-5116
Registry dates
- Enumerated
- 2020-07-01
- Last updated
- 2020-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.