Amy Renae Graham in Southaven - Physical Therapist
Amy Renae Graham - NPI 1467410969
Amy Renae Graham is a Physical Therapist in Southaven, Mississippi. Amy Renae Graham practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Amy Renae Graham is 1467410969. The last update date is 2023-05-30.
Amy Renae Graham's current location address is 3075 Goodman Rd E Ste 7, Southaven, Mississippi. You can contact this provider via phone number 6623499288 and fax number 6623499289. The mailing address for Amy Renae Graham is 3075 Goodman Rd E Ste 7, Southaven, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amy Renae Graham |
|---|---|
| Address | 3075 Goodman Rd E Ste 7, Southaven, Mississippi |
| Phone Number | 6623499288 |
| Fax Number | 6623499289 |
| Sole Proprietor | Y |
| Credentials | DPT |
NPI Number Detail
| NPI Number | 1467410969 |
|---|---|
| Provider Enumeration Date | 2006-05-03 |
| Last Updated Date | 2023-05-30 |
Provider Mailing Address Detail
| Address | 3075 Goodman Rd E Ste 7 |
|---|---|
| City | Southaven |
| State | Mississippi (MS) |
| Post Code | 386726359 |
| Phone Number | 6623499288 |
| Fax Number | 6623499289 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT7982 |
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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 |
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What is the unique 10-digit identifier code assigned to Amy Renae Graham by the Centers for Medicare & Medicaid Services?
The Amy Renae Graham has been issued the NPI (National Provider Identifier) 1467410969 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Amy Renae Graham?
The Amy Renae Graham is situated at 3075 Goodman Rd E Ste 7, in the city of Southaven, state of MS, with the zip code 386726359.
What is the Amy Renae Graham's specialty and taxonomy code?
The Amy Renae Graham'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 1467410969 to Amy Renae Graham?
The Centers for Medicare & Medicaid Services originally issued the 1467410969 to Amy Renae Graham on 2006-05-03.
When was the information regarding Amy Renae Graham most recently updated?
The details pertaining to the Amy Renae Graham, including its address, specialty, and other relevant information, were last refreshed on 2023-05-30.