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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANNON MCINTOSH

Active Sole Proprietor

SHANNON MCINTOSH is a Physical Therapy Assistant healthcare provider located in POPLARVILLE, Mississippi. NPI 1003104415 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · POPLARVILLE, MS

Registration Details

NPI Number
1003104415
Provider Type
Individual
Gender
Female
NPI Issued
Jul 19, 2011 (15.046800414533 yrs)
Last Updated
Sep 15, 2020
License
PT4787 (MS)
Sole Proprietor
Yes

Practice Information

Address
9 BALMORAL DR STE A
POPLARVILLE, MS, 394703344
Browse MS providers · Browse ZIP 39470
Phone
6017465101
Fax
6017465102
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in POPLARVILLE, MS

Name Credential NPI
RYAN W WOODS PT 1831209477
MANDY WILLIAMS SMITH PT 1891915922
MS. BRITTNEY ROBERTS TYNES PT 1588912638
MR. MARCUS HOUSTON DPT 1619327277
KACI L MORRIS DPT 1538792064
ANGELA LARKE WILLIAMS DPT 1871269746
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.