Provider Demographics
NPI:1174082440
Name:HUGGINS, CHELSEA MCELROY (LPTA)
Entity type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:MCELROY
Last Name:HUGGINS
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4475 COUNTY ROAD 87
Mailing Address - Street 2:
Mailing Address - City:VAIDEN
Mailing Address - State:MS
Mailing Address - Zip Code:39176-4916
Mailing Address - Country:US
Mailing Address - Phone:662-466-1467
Mailing Address - Fax:
Practice Address - Street 1:627 MIDDLETON RD # 600
Practice Address - Street 2:
Practice Address - City:WINONA
Practice Address - State:MS
Practice Address - Zip Code:38967-2021
Practice Address - Country:US
Practice Address - Phone:662-283-1260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-17
Last Update Date:2019-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSPTA6613225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant