| Imani Community Outreach Center | |
|
301 E Jefferson St, Kosciusko, MS 39090-3719 | |
| (662) 289-7676 | |
| Not Available |
| Full Name | Imani Community Outreach Center |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 301 E Jefferson St, Kosciusko, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912273624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Imani Community Outreach Center 301 E Jefferson St, Kosciusko, MS 39090-3719 Ph: (662) 289-7676 | Imani Community Outreach Center 301 E Jefferson St, Kosciusko, MS 39090-3719 Ph: (662) 289-7676 |
Susan Elaine Cappelli, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7597 Attala Road 5216, Kosciusko, MS 39090 Phone: 601-416-5715 | |
Ms. Christi W Sims, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 130 Parkway Plz, Kosciusko, MS 39090 Phone: 662-289-3588 Fax: 662-289-3533 | |
Mrs. Deidra K Cockroft, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 130 Parkway Plz, Kosciusko, MS 39090 Phone: 662-289-3588 Fax: 662-289-3533 | |
Ms. Tammy Mcgee, P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 140 N Wells St, Kosciusko, MS 39090 Phone: 662-290-6020 Fax: 662-290-6070 | |
Haley Kuhn, Physical Therapist Medicare: Medicare Enrolled Practice Location: 108 Veterans Memorial Dr, Kosciusko, MS 39090 Phone: 769-777-4400 Fax: 769-777-4401 | |
Dr. Carlie Savannah Payton-rutledge, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 340 Highway 12 W, Kosciusko, MS 39090 Phone: 662-289-3588 Fax: 662-289-3533 | |
Ms. Tina D Mcneal, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 108 Veterans Memorial Dr, Kosciusko, MS 39090 Phone: 769-777-4400 Fax: 769-777-4401 |