Provider Demographics
NPI:1063061026
Name:MCFARLAND, BRIANNA KAYLA MELISHA (DPT)
Entity type:Individual
Prefix:DR
First Name:BRIANNA
Middle Name:KAYLA MELISHA
Last Name:MCFARLAND
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5225 HIGHWAY 18 W
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39209-9446
Mailing Address - Country:US
Mailing Address - Phone:601-487-8456
Mailing Address - Fax:
Practice Address - Street 1:5225 HIGHWAY 18 W
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39209-9446
Practice Address - Country:US
Practice Address - Phone:601-487-8456
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-11
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSPT6782225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist