Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Southern Regional Chiropractic and Rehabilitation Center

Organization Chiropractor · NPI 1134635360

Southern Regional Chiropractic and Rehabilitation Center provides Chiropractor services in Diberville, Mississippi. Licensed in Mississippi. Registered with an NPI since 2017.

Licensed in
MS
In the registry since
2017
Specialties on file
2

Practice location Address checks out

11505 Cinema Dr Ste 7
Diberville, MS 39540
Phone: (228) 365-0449
Fax: (228) 365-2314
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 1221 (MS)
Nurse Practitioner Taxonomy 363L00000X · Licence 901566 (MS)

Record details

NPI number1134635360
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Keenum — Owner · (228) 860-5027
NPI enumeratedDecember 26, 2017
Last updated in NPPESJuly 10, 2018
Mailing address11505 Cinema Dr Ste 7, Diberville, MS 39540-9703

Other providers in Diberville