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

Mauricio S Chua, PT

Individual provider Physical Therapist · NPI 1104040146

Mauricio S Chua, PT is a Physical Therapist in Ridgeland, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

711 Avignon Dr
Ridgeland, MS 39157-5120
Phone: (601) 605-6777
Fax: (601) 605-8869
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT3490 (MS)

Record details

NPI number1104040146
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedApril 12, 2007
Last updated in NPPESJuly 8, 2007
Mailing address324 Indian Hills Dr, Meridian, MS 39305-8032

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