Female

Mandy W. Smith PT

Physical Therapist in Poplarville, MS(View on Map)

Full Name

Mandy Williams Smith PT

NPI Number

1891915922

NPI Type

Individual Provider

Gender

Female

Enumeration Date

04/30/2007

Specialties

(Taxonomies)

Code

225100000X

Primary Taxonomy

Yes

Licenses

State

Mississippi

License Number

PT4141

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 8419
411 W NORTH ST

City

Biloxi
Poplarville

State

MS
MS

Postal Code

39535-8087
39470-2203

Country

US
US

Telephone Number

(228) 388-5714
(601) 795-2130

Identifiers

Identifier

090-15077
1033218524

Identifier State

MS
MS

Identifier Issuer

Unknown
GROUP NPI

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/21/2008

Provider Address

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