Pro Therapy | |
3077 Highway 371 N, Mantachie, MS 38855-7274 | |
(662) 282-4949 | |
(662) 282-4955 |
Full Name | Pro Therapy |
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Type | Facility |
Speciality | Physical Therapist |
Location | 3077 Highway 371 N, Mantachie, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1629343124 | NPI | - | NPPES |
08130311 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Alisha G Comer |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1700807690 PECOS PAC ID: 0840572145 Enrollment ID: I20170121000192 |
Provider Name | Katie Leigh Reeves |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1699213462 PECOS PAC ID: 3274817465 Enrollment ID: I20170308000191 |
Provider Name | Michael Anthony Mcbryde |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1467930537 PECOS PAC ID: 4284984832 Enrollment ID: I20180904000272 |
Provider Name | Victoria Deniece Williams |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1669770483 PECOS PAC ID: 4789919101 Enrollment ID: I20190708002141 |
Mailing Address | Practice Location Address |
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Pro Therapy Po Box 205, Mantachie, MS 38855-0205 Ph: (662) 282-4949 | Pro Therapy 3077 Highway 371 N, Mantachie, MS 38855-7274 Ph: (662) 282-4949 |