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

Individual provider Physical Therapist · NPI 1427177443

Raven McCoy, PT is a Physical Therapist in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2007.

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

2475 Lakeland Dr Ste A
Jackson, MS 39232-9505
Phone: (601) 664-1022
Fax: (601) 664-1076
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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 PT3962 (MS)

Record details

NPI number1427177443
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedMarch 29, 2007
Last updated in NPPESJuly 8, 2007

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