Maxie B Manning in Hattiesburg - Physical Therapist

Maxie B Manning - NPI 1124133467

Maxie B Manning is a Physical Therapist in Hattiesburg, Mississippi. Maxie B Manning practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Maxie B Manning is 1124133467. The last update date is 2016-08-23.

Maxie B Manning's current location address is 415 S 28th Ave, Hattiesburg, Mississippi. You can contact this provider via phone number 6012685757 and fax number 6015795240. The mailing address for Maxie B Manning is 415 S 28th Ave, Hattiesburg, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Maxie B Manning
Address 415 S 28th Ave, Hattiesburg, Mississippi
Phone Number 6012685757
Fax Number 6015795240
Sole Proprietor N
Credentials PT

NPI Number Detail

NPI Number 1124133467
Provider Enumeration Date 2006-08-19
Last Updated Date 2016-08-23

Provider Mailing Address Detail

Address 415 S 28th Ave
City Hattiesburg
State Mississippi (MS)
Post Code 394017246
Phone Number 6012685757
Fax Number 6015795240

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No PT0130
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2265849 MS AMERICAN ADMIN GROUP
124907 MS --
P00308442 MS RAILROAD MEDICARE

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FAQs about Maxie B Manning

What is the unique 10-digit identifier code assigned to Maxie B Manning by the Centers for Medicare & Medicaid Services?

The Maxie B Manning has been issued the NPI (National Provider Identifier) 1124133467 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Maxie B Manning is physically located?

The Maxie B Manning is situated at the following address: 415 S 28Th Ave, Hattiesburg, MS 394017246.

What is the Maxie B Manning's specialty and taxonomy code?

The Maxie B Manning's specialty is Physical Therapist, and the corresponding taxonomy code is 225100000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1124133467 to Maxie B Manning?

The Centers for Medicare & Medicaid Services originally issued the 1124133467 to Maxie B Manning on 2006-08-19.

When was the information regarding Maxie B Manning most recently updated?

The details pertaining to the Maxie B Manning, including its address, specialty, and other relevant information, were last refreshed on 2016-08-23.

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