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

Detric Griffin

Individual provider Physical Therapy Assistant · NPI 1487007167

Detric Griffin is a Physical Therapy Assistant in Kosciusko, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2016

Practice location Address checks out

2191 Attala Road 1006
Kosciusko, MS 39090-6146
Phone: (662) 739-1320
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 5972 (MS)

Record details

NPI number1487007167
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 19, 2016
Last updated in NPPESJuly 19, 2016
Mailing address2191 Attala Road 1006, Kosciusko, MS 39090-6146

Other providers in Kosciusko