| Small Town Physical Therapy, Llc | |
|
2039 Highway 35 S, Forest, MS 39074-7973 | |
| (601) 917-0284 | |
| Not Available |
| Full Name | Small Town Physical Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 2039 Highway 35 S, Forest, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205646650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Cathy Cooper |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053567636 PECOS PAC ID: 9234314980 Enrollment ID: I20110425000272 |
| Mailing Address | Practice Location Address |
|---|---|
| Small Town Physical Therapy, Llc 2039 Highway 35 S, Forest, MS 39074-7973 Ph: (601) 917-0284 | Small Town Physical Therapy, Llc 2039 Highway 35 S, Forest, MS 39074-7973 Ph: (601) 917-0284 |
Cathy G Cooper, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 813 West 3rd Street, Forest, MS 39074 Phone: 601-469-1001 Fax: 601-469-1009 | |
Alexandria M Taylor, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 339 W Third St, Forest, MS 39074 Phone: 601-287-8007 Fax: 601-287-8038 | |
Haley M Allen, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 237 N Woodland Dr, Forest, MS 39074 Phone: 601-564-8750 | |
Slater Henry Richardson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 504 Airport Rd Ste C, Forest, MS 39074 Phone: 601-469-2732 | |
Jordan B Manning, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 237 N Woodland Dr, Forest, MS 39074 Phone: 601-564-8750 Fax: 601-564-8747 | |
Leanne Earls Pounders, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 813 W Third St, Forest, MS 39074 Phone: 601-469-1001 Fax: 601-469-1009 |