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

Stefan McClellan

Individual provider Physical Therapy Assistant · NPI 1932890332

Stefan McClellan is a Physical Therapy Assistant in Gulfport, Mississippi. Licensed in Mississippi. Registered with an NPI since 2023.

Licensed in
MS
In the registry since
2023

Practice location Address checks out

1530 Broad Ave
Gulfport, MS 39501-3601
Phone: (228) 864-6544
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 7161 (MS)

Record details

NPI number1932890332
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 16, 2023
Last updated in NPPESMay 16, 2023
Certification dateMay 16, 2023
Mailing address1101 19th St, Gulfport, MS 39501-3312

Other providers in Gulfport