Healthcare Provider Details

I. General information

NPI: 1619089950
Provider Name (Legal Business Name): ALKINI ROYCESTINE CATCHINGS KINESIOTHERAPIST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 VETERANS AVE
BILOXI MS
39501
US

IV. Provider business mailing address

6300 AMBERLY DR
OCEAN SPRINGS MS
39564
US

V. Phone/Fax

Practice location:
  • Phone: 228-523-5929
  • Fax: 228-523-4517
Mailing address:
  • Phone: 228-523-5929
  • Fax: 228-523-4517

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code226300000X
TaxonomyKinesiotherapist
License Number1537
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: