| Sporty Sprouts: Youth Wellness Center | |
|
104 Faith Way, Brandon, MS 39042-8676 | |
| (601) 850-3698 | |
| Not Available |
| Full Name | Sporty Sprouts: Youth Wellness Center |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist - Pediatrics |
| Location | 104 Faith Way, Brandon, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780978502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251P0200X | Physical Therapist - Pediatrics | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Sporty Sprouts: Youth Wellness Center Po Box 4233, Brandon, MS 39047-4233 Ph: (601) 850-3698 | Sporty Sprouts: Youth Wellness Center 104 Faith Way, Brandon, MS 39042-8676 Ph: (601) 850-3698 |
Rashad Smith, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 107 Amethyst Ln, Brandon, MS 39047 Phone: 601-260-5767 | |
Drayer Physical Therapy Institute Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1220 N Shore Pkwy, Suite B, Brandon, MS 39047 Phone: 601-829-0505 Fax: 601-829-0506 | |
Mr. Mark Allen Livingston, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1220 N Shore Pkwy, Suite B, Brandon, MS 39047 Phone: 601-829-0505 Fax: 601-829-0506 | |
Sherry Teer Colson, DPT EDD Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 114 Northwind Dr, Brandon, MS 39047 Phone: 601-940-1090 | |
Dr. Avery Harps, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 289 Cornerstone Dr, Brandon, MS 39042 Phone: 601-706-4051 Fax: 601-706-4051 | |
Matthew Woodruff, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 359 Avalon Way, Brandon, MS 39047 Phone: 662-207-6756 | |
Mrs. Kitty Josette Stogner, PT, ATP Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 521 Pelahatchie Shore Dr, Brandon, MS 39047 Phone: 601-613-7328 |