| Proactive Physical Therapy Llc. | |
|
701 Anthony St, Port Gibson, MS 39150-2053 | |
| (601) 218-5004 | |
| Not Available |
| Full Name | Proactive Physical Therapy Llc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 701 Anthony St, Port Gibson, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538969795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Kendrique Morgan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548993074 PECOS PAC ID: 4981087509 Enrollment ID: I20241122001379 |
| Mailing Address | Practice Location Address |
|---|---|
| Proactive Physical Therapy Llc. 701 Anthony St, Port Gibson, MS 39150-2053 Ph: (601) 994-3548 | Proactive Physical Therapy Llc. 701 Anthony St, Port Gibson, MS 39150-2053 Ph: (601) 218-5004 |
Kendrique Morgan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 701 Anthony St, Port Gibson, MS 39150 Phone: 601-994-3548 Fax: 601-448-0234 |
Delta Therapy Solutions, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 610 Market St, Port Gibson, MS 39150 Phone: 601-437-3299 Fax: 601-437-3298 |