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

Keely Fortenberry

Individual provider Occupational Therapist · NPI 1336769306

Keely Fortenberry is an Occupational Therapist in Prentiss, Mississippi. Licensed in Mississippi. Registered with an NPI since 2020.

Licensed in
MS
In the registry since
2020
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Practice location Address checks out

1102 Rose St
Prentiss, MS 39474-5200
Phone: (601) 792-1242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT3495 (MS)

Record details

NPI number1336769306
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 20, 2020
Last updated in NPPESApril 20, 2020
Certification dateApril 20, 2020
Mailing address711 Avignon Dr, Ridgeland, MS 39157-5120