Shannon Mcintosh, | |
9 Balmoral Dr Ste A, Poplarville, MS 39470-3344 | |
(601) 746-5101 | |
(601) 746-5102 |
Full Name | Shannon Mcintosh |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 9 Balmoral Dr Ste A, Poplarville, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003104415 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT4787 (Mississippi) | Primary |
Provider Name | Bright Steps Therapy, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1245857978 PECOS PAC ID: 6709276090 Enrollment ID: O20211130002091 |
Mailing Address | Practice Location Address |
---|---|
Shannon Mcintosh, 9 Balmoral Dr Ste A, Poplarville, MS 39470-3344 Ph: () - | Shannon Mcintosh, 9 Balmoral Dr Ste A, Poplarville, MS 39470-3344 Ph: (601) 746-5101 |
Kaci L Morris, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9 Balmoral Dr Ste A, Poplarville, MS 39470 Phone: 601-746-5101 Fax: 601-746-5102 | |
Ms. Brittney Roberts Tynes, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 411 W North St, Poplarville, MS 39470 Phone: 601-795-2130 Fax: 601-795-2164 | |
Mr. Marcus Houston, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9 Balmoral Dr Ste A, Poplarville, MS 39470 Phone: 601-365-9868 | |
Beth E. Breland, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 411 W North St, Poplarville, MS 39470 Phone: 601-795-2130 Fax: 601-795-2164 | |
Ryan W Woods, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1403 South Main Street,, Suite E, Poplarville, MS 39470 Phone: 601-268-5757 Fax: 601-579-5220 |