Provider Demographics
NPI:1518757475
Name:GALMORE, DAYSHAYLA MONE'T (LPTA)
Entity type:Individual
Prefix:
First Name:DAYSHAYLA
Middle Name:MONE'T
Last Name:GALMORE
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 1:905 SASSE ST APT 53
Mailing Address - Street 2:
Mailing Address - City:CLARKSDALE
Mailing Address - State:MS
Mailing Address - Zip Code:38614-7544
Mailing Address - Country:US
Mailing Address - Phone:662-313-8052
Mailing Address - Fax:
Practice Address - Street 1:905 SASSE ST APT 53
Practice Address - Street 2:
Practice Address - City:CLARKSDALE
Practice Address - State:MS
Practice Address - Zip Code:38614-7544
Practice Address - Country:US
Practice Address - Phone:662-313-8052
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSPTA7747225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant