Pt Mobile, Llc | |
258 S Main St, Pontotoc, MS 38863-3305 | |
(662) 322-1792 | |
Not Available |
Full Name | Pt Mobile, Llc |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 258 S Main St, Pontotoc, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558037622 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Kyle Lyndon White |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1033737770 PECOS PAC ID: 6608274550 Enrollment ID: I20211014000375 |
Mailing Address | Practice Location Address |
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Pt Mobile, Llc 258 S Main St, Pontotoc, MS 38863-3305 Ph: () - | Pt Mobile, Llc 258 S Main St, Pontotoc, MS 38863-3305 Ph: (662) 322-1792 |
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