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

Kelly Windham

Individual provider Physical Therapy Assistant · NPI 1063766798

Kelly Windham is a Physical Therapy Assistant in Summit, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2012
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Practice location Address checks out

4109 Highway 98 W
Summit, MS 39666-9132
Phone: (601) 764-2101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 4216 (MS)

Record details

NPI number1063766798
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 2, 2012
Last updated in NPPESNovember 2, 2012

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