| 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 |
|---|---|
| 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 |
Ryan Blackburn, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 411 W North St, Poplarville, MS 39470 Phone: 601-795-2130 | |
Christian Avery Nance, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1227 S Main St, Poplarville, MS 39470 Phone: 601-746-5101 Fax: 601-746-5102 | |
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 | |
Hattiesburg Clinic, Pa Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1403 S Main St Ste E, Poplarville, MS 39470 Phone: 601-795-6618 Fax: 601-795-6669 |