| Kelli Anne Cruthirds, SLP | |
| 
					1601 Central Ave W, Wiggins, MS 39577-2401  | |
| (601) 716-3196 | |
| (601) 974-9919 | 
| Full Name | Kelli Anne Cruthirds | 
|---|---|
| Gender | Female | 
| Speciality | Speech-language Pathologist | 
| Location | 1601 Central Ave W, Wiggins, Mississippi | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1104667112 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | S-5090 (Mississippi) | Primary | 
| Provider Name | Southern Physical Therapy Clinic Inc | 
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice | 
| Provider Identifiers | NPI Number: 1801370929 PECOS PAC ID: 6103167184 Enrollment ID: O20190402000733  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kelli Anne Cruthirds, SLP 1620 Highway 11 N Ste C, Picayune, MS 39466-2070 Ph: (769) 242-2626  | Kelli Anne Cruthirds, SLP 1601 Central Ave W, Wiggins, MS 39577-2401 Ph: (601) 716-3196  | 
Belinda Evans,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 214 Critz St N, Wiggins, MS 39577 Phone: 601-928-7247  | |
Cynthia Wasilenko, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1436 Central Ave E, Wiggins, MS 39577 Phone: 601-928-1889  | |
Autrionne D Monroe,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1434 Central Ave E, Wiggins, MS 39577 Phone: 601-928-6700  | |
Mary Catherine Buzhardt,  Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 1436 Central Ave E, Wiggins, MS 39577 Phone: 601-928-1889 Fax: 228-575-2917  | |
Sarah Huba,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 214 Critz St N, Wiggins, MS 39577 Phone: 601-928-7247  | |
Erica R Palmer,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1440 Central Ave E, Wiggins, MS 39577 Phone: 601-928-6700  |