Shayla R Sturdivant, DPT | |
1112 Maria Ln, Iuka, MS 38852-1119 | |
(662) 593-3111 | |
Not Available |
Full Name | Shayla R Sturdivant |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 1112 Maria Ln, Iuka, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730808023 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT7426 (Mississippi) | Primary |
Provider Name | Drayer Physical Therapy Mississippi Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1952732448 PECOS PAC ID: 3274834858 Enrollment ID: O20160314001040 |
Mailing Address | Practice Location Address |
---|---|
Shayla R Sturdivant, DPT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 206-4158 | Shayla R Sturdivant, DPT 1112 Maria Ln, Iuka, MS 38852-1119 Ph: (662) 593-3111 |
Drayer Physical Therapy Mississippi Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 412a Battleground Drive, Iuka, MS 38852 Phone: 662-593-3111 Fax: 662-593-3151 | |
Surya Nallamala, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1670 Whitehouse Rd, Iuka, MS 38852 Phone: 601-605-6777 | |
Medicomp Physical Therapy Iuka Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1112b Maria Ln, Iuka, MS 38852 Phone: 888-976-2667 Fax: 601-824-8828 | |
Drayer Physical Therapy Of Tennessee Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 412a Battleground Drive, Iuka, MS 38852 Phone: 662-593-3111 Fax: 662-593-3151 | |
Jacey Borden Clayton, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1112 Maria Ln, Iuka, MS 38852 Phone: 662-593-3111 Fax: 662-593-3151 | |
Heather Surholt, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 502 Battleground Dr, Iuka, MS 38852 Phone: 662-423-2633 Fax: 662-423-2988 |