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

Raven Simone Edwards

Individual provider Physical Therapist · NPI 1952896706

Raven Simone Edwards is a Physical Therapist in Southaven, Mississippi. Licensed in Mississippi. Registered with an NPI since 2018.

Licensed in
MS
In the registry since
2018

Practice location Address checks out

3451 Goodman Rd E Ste 108
Southaven, MS 38672
Phone: (662) 890-6953
Fax: (662) 890-6954
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT6541 (MS)

Record details

NPI number1952896706
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 25, 2018
Last updated in NPPESAugust 8, 2018

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