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

Raven Simone Edwards

Individual provider Physical Therapist · NPI 1952896706

Raven Simone Edwards is a Physical Therapist in Southaven, Mississippi. Licensed in Mississippi. Registered with an NPI since 2018.

Licensed in
MS
In the registry since
2018

Practice location Address checks out

3451 Goodman Rd E Ste 108
Southaven, MS 38672
Phone: (662) 890-6953
Fax: (662) 890-6954
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT6541 (MS)

Record details

NPI number1952896706
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 25, 2018
Last updated in NPPESAugust 8, 2018
Mailing address800 Crescent Centre Dr Ste 600, Franklin, TN 37067-7286

Other providers in Southaven