NICHOLAS MARTIN HARRIS

SOUTHAVEN, MS
NPI1306350640
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MS  PTA5889)
Enumeration Date2017-11-22
Last Update Date2025-10-24
Business Address
Mr. NICHOLAS MARTIN HARRIS PTA
7111 SOUTHCREST PKWY STE 105
SOUTHAVEN, MS 38671-4851
Phone number: 901-261-2506
Mailing Address
Mr. NICHOLAS MARTIN HARRIS PTA
4869 STONE CROSS DR
OLIVE BRANCH, MS 38654-6989
Phone number: