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

Antonio Debose

Individual provider Physical Therapy Assistant · NPI 1235967340

Antonio Debose is a Physical Therapy Assistant in Flowood, Mississippi. Works from 2 locations. Licensed in Mississippi.

Licensed in
MS
In the registry since
2024

Practice location Address checks out

671 Grants Ferry Rd Ste A
Flowood, MS 39232-6801
Phone: (769) 777-4400
Fax: (769) 777-4401
Show map & directions

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

Additional practice locations (1)

  • 3825 Highway 80 E, Pearl, MS 39208-4232 — (769) 777-4400

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA7521 (MS)

Record details

NPI number1235967340
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 22, 2024
Last updated in NPPESJuly 22, 2024
Certification dateJuly 22, 2024
Mailing address671 Grants Ferry Rd Ste A, Flowood, MS 39232-6801

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