Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CARROL SHANE FORTENBERRY, P.T.
ActivePhysical Therapy Assistant · TUPELO, MS
Registration Details
- NPI Number
- 1659609923
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 25, 2009 (16.414451945944 yrs)
- Last Updated
- Nov 25, 2009
- Licenses
-
PT0345 (MS)PT0000008246 (TN)
Practice Information
- Address
-
2844 TRACELAND AVE.TUPELO, MS, 38801Browse MS providers · Browse ZIP 38801
- Phone
- 1888639692
- Fax
- 6626805097
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in TUPELO, MS
| Name | Credential | NPI |
|---|---|---|
| LYNDA G HESTER | R.P.T. | 1831182906 |
| MR. LOUIS CHARLES REMMERS JR. | P.T. | 1285642371 |
| MR. THOMAS CHANDLER BROWN | PT | 1497822134 |
| MS. DONNA MCCORMACK | P.T. | 1962568691 |
| MR. JOSEPH C WILLIS | P.T. | 1184764003 |
| MISS SAUNDRA RENEE WILLIS | P.T. | 1215078845 |
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.