| Pro Pt | |
|
3077 Highway 371 N, Mantachie, MS 38855-7274 | |
| (662) 282-4949 | |
| (662) 282-4955 |
| Full Name | Pro Pt |
|---|---|
| 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 |
|---|---|---|---|
| 1629343124 | NPI | - | NPPES |
| 08130311 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Alisha G Comer |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1700807690 PECOS PAC ID: 0840572145 Enrollment ID: I20170121000192 |
| Provider Name | Katie Leigh Reeves |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Pro Pt Po Box 205, Mantachie, MS 38855-0205 Ph: (662) 282-4949 | Pro Pt 3077 Highway 371 N, Mantachie, MS 38855-7274 Ph: (662) 282-4949 |