Elizabeth Kavanagh, PT is a
Physical Therapist based in Bruce, Mississippi. Elizabeth Kavanagh is licensed to practice in Mississippi (license number PT1225) and her current practice location is
176 Hwy 9 North, Bruce, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(662) 412-5220.
NPI number for Elizabeth Kavanagh is 1487968574 and her current mailing address is 2844 Traceland Dr, Tupelo, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487968574.
Healthcare Provider's Profile
Full Name | Elizabeth Kavanagh |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 176 Hwy 9 North, Bruce, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1487968574
- Provider Enumeration Date: 07/30/2010
- Last Update Date: 07/30/2010
Medical Identifiers
Medical identifiers for Elizabeth Kavanagh such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487968574 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | PT1225 (Mississippi) | Primary |
225100000X | Physical Therapist | PTH1467 (Alabama) | Secondary |
225100000X | Physical Therapist | PT22065 (Florida) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elizabeth Kavanagh is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Elizabeth Kavanagh, PT 2844 Traceland Dr, Tupelo, MS 38801-4200 Ph: (662) 680-3148 | Elizabeth Kavanagh, PT 176 Hwy 9 North, Bruce, MS 38915 Ph: (662) 412-5220 |
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