# MAGNOLIA THERAPY SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MAGNOLIA KIDS THERAPY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245005222
- **Authorized official:** ANDREA JONES PT, DPT (PT/OWNER)
- **Authorized official phone:** (662) 322-0980

## Contact information

- **Practice address:** 1890 MCCULLOUGH BLVD STE 103, TUPELO, MS 38801-6774
- **Practice address phone:** (662) 322-0980
- **Mailing address:** 2622 EDGEMONT CIR, TUPELO, MS 38804-1074
- **Mailing address phone:** (662) 322-0980

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 11/20/2023
- **Last updated:** 06/19/2024