| Kelly Wallace, PT | |
|
7160 Tchulahoma Rd Ste 4, Southaven, MS 38671-9266 | |
| (662) 349-2733 | |
| Not Available |
| Full Name | Kelly Wallace |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 7160 Tchulahoma Rd Ste 4, Southaven, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760727283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1734 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Wallace, PT 7160 Tchulahoma Rd Ste 4, Southaven, MS 38671-9266 Ph: () - | Kelly Wallace, PT 7160 Tchulahoma Rd Ste 4, Southaven, MS 38671-9266 Ph: (662) 349-2733 |
Parker P Haberstroh, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1100 Church Rd W Ste 112, Southaven, MS 38671 Phone: 662-548-3650 Fax: 662-654-8029 | |
Michael Newton Phillips, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3451 Goodman Rd E Ste 108, Southaven, MS 38672 Phone: 662-890-6953 | |
Mrs. Deborah Jill Patton, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5271 Getwell Rd, Southaven, MS 38672 Phone: 662-510-5694 | |
Mrs. Tara Elaine Burt, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7900 Airways Blvd. Building A, Suite 2, Southaven, MS 38671 Phone: 662-536-4096 Fax: 662-536-4099 | |
Ms. Jerrica Thomas, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7545 Airways Blvd, Southaven, MS 38671 Phone: 901-759-3208 | |
Lacey Moody, Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 3964 Goodman Rd E, Suite 111, Southaven, MS 38672 Phone: 662-890-6953 Fax: 662-890-6954 | |
Mrs. Jennifer Dixon Brown, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7545 Airways Blvd, Southaven, MS 38671 Phone: 901-759-3208 Fax: 901-759-3216 |