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

MANDI LASHEA PORTER, PT, DPT

Active Sole Proprietor

MANDI LASHEA PORTER, PT, DPT is a Physical Therapy Assistant healthcare provider located in COLUMBUS, Mississippi. NPI 1790931400 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · COLUMBUS, MS

Registration Details

NPI Number
1790931400
Provider Type
Individual
Gender
Female
NPI Issued
Aug 13, 2008 (17.977655795236 yrs)
Last Updated
Apr 15, 2021
Licenses
00010707 (WA)
5038 (MS)
34857 (CA)
Sole Proprietor
Yes

Practice Information

Address
2520 5TH ST N
COLUMBUS, MS, 397052008
Browse MS providers · Browse ZIP 39705
Phone
6622442074
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in COLUMBUS, MS

Name Credential NPI
STEVEN BRADLEY CLARK MPT 1760474043
MELISSA BETH CLARK MPT 1447242797
MICHAEL C PUTT PT 1598757841
AMY SHARP PT 1225020589
JANALYN WHITESIDE PT 1669464921
KEVIN L RANDALL PT 1699759621
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.