Shannon Mcintosh
Physical Therapist
9 Balmoral Dr Ste A
Poplarville
, Mississippi 39470-3344
Shannon Mcintosh
Physical Therapist
9 Balmoral Dr Ste A
Poplarville
, Mississippi 39470-3344
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About
Features
Specialties
- Physical Therapist
Languages spoken
- English
Location
First Address
- Shannon Mcintosh
- 9 Balmoral Dr Ste A
- Poplarville, MS
- Zip : 39470-3344
- Phone :
Second Address
- Shannon Mcintosh
- 9 Balmoral Dr Ste A
- Poplarville, MS
- Zip : 39470-3344
- Fax : (601) 746-5102
- Phone : (601) 746-5101
Reviews
FAQs
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Is Shannon Mcintosh a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT4787 | MS |
National Provider Identifier
| NPI | 1003104415 |
|---|---|
| Provider Name | Shannon Mcintosh |
| First Address | Poplarville, MS 39470-3344 |
| Second Address | Poplarville, MS 39470-3344 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/07/2011 |
| Last Update Date | 15/09/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.