Provider Demographics
NPI:1750751947
Name:CURRENT, DAVID A (DPT)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:A
Last Name:CURRENT
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 GLADEVIEW PL
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:MS
Mailing Address - Zip Code:39047-5015
Mailing Address - Country:US
Mailing Address - Phone:601-665-3644
Mailing Address - Fax:
Practice Address - Street 1:312 GLADEVIEW PL
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:MS
Practice Address - Zip Code:39047-5015
Practice Address - Country:US
Practice Address - Phone:601-665-3644
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-30
Last Update Date:2015-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS4358225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist