Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Detric Griffin

Individual provider Physical Therapy Assistant · NPI 1487007167

Detric Griffin is a Physical Therapy Assistant in Kosciusko, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2016

Practice location Address checks out

2191 Attala Road 1006
Kosciusko, MS 39090-6146
Phone: (662) 739-1320
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 5972 (MS)

Record details

NPI number1487007167
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 19, 2016
Last updated in NPPESJuly 19, 2016

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