# GULF COAST PHYSICAL THERAPY CENTERS PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497837488
- **Authorized official:** MR. KENNETH J ACKERMAN PT (PRESIDENT)
- **Authorized official phone:** (228) 822-9066

## Contact information

- **Practice address:** 9471 THREE RIVERS RD, UNIT D, GULFPORT, MS 39503-4230
- **Practice address phone:** (228) 822-9066
- **Practice address fax:** (228) 822-9722
- **Mailing address:** PO BOX 3238, GULFPORT, MS 39505-3238
- **Mailing address phone:** (228) 822-9066
- **Mailing address fax:** (228) 822-9722

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 10/19/2006
- **Last updated:** 10/30/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 09015748 | — | MS |