Provider Demographics
NPI:1962399592
Name:HIGHT, DYLAN (OT)
Entity type:Individual
Prefix:
First Name:DYLAN
Middle Name:
Last Name:HIGHT
Suffix:
Gender:M
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2103 S TATE ST
Mailing Address - Street 2:
Mailing Address - City:CORINTH
Mailing Address - State:MS
Mailing Address - Zip Code:38834-7912
Mailing Address - Country:US
Mailing Address - Phone:662-643-4043
Mailing Address - Fax:662-643-4044
Practice Address - Street 1:2103 S TATE ST
Practice Address - Street 2:
Practice Address - City:CORINTH
Practice Address - State:MS
Practice Address - Zip Code:38834-7912
Practice Address - Country:US
Practice Address - Phone:662-643-4043
Practice Address - Fax:662-643-4044
Is Sole Proprietor?:No
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation