Organization
MAGNOLIA THERAPY SERVICES
Active
Other names
MAGNOLIA KIDS THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA JONES PT, DPT (PT/OWNER)
(662) 322-0980
Entity
Organization
Contact information
Practice address
1890 MCCULLOUGH BLVD STE 103, TUPELO, MS 38801-6774
(662) 322-0980
Mailing address
2622 EDGEMONT CIR, TUPELO, MS 38804-1074
(662) 322-0980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
11/20/2023
Last updated
06/19/2024
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