Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PT4369 | MS |
N | 2251G0304X | Physical Therapist - Geriatrics | 4369 | MS |
NPI | 1215244066 |
---|---|
Provider Name | Emily B Mccafferty |
First Address | Tupelo, MS 38801-6548 |
Second Address | Tupelo, MS 38801-6548 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2010 |
Last Update Date | 05/10/2020 |