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

Southern Regional Chiropractic and Rehabilitation Center

Organization Chiropractor · NPI 1134635360

Southern Regional Chiropractic and Rehabilitation Center is a Chiropractor in Diberville, Mississippi. Licensed in Mississippi. Registered with an NPI since 2017.

Licensed in
MS
In the registry since
2017
Specialties on file
2

Practice location Address checks out

11505 Cinema Dr Ste 7
Diberville, MS 39540
Phone: (228) 365-0449
Fax: (228) 365-2314
Show map & directions

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

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 1221 (MS)
Nurse Practitioner Taxonomy 363L00000X · Licence 901566 (MS)

Record details

NPI number1134635360
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Keenum — Owner · (228) 860-5027
NPI enumeratedDecember 26, 2017
Last updated in NPPESJuly 10, 2018
Mailing address11505 Cinema Dr Ste 7, Diberville, MS 39540-9703

Other providers in Diberville