Individual
SUSAN WAITES SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MSPT
Contact information
Practice address
3102 RAINBOW DR STE 200, RAINBOW CITY, AL 35906-5804
(256) 549-6387
(256) 549-6391
Mailing address
199 N BROOKMOORE DR, COLUMBUS, MS 39705-2024
(662) 327-6705
(662) 327-6760
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH4115
AL
Other
Enumeration date
12/09/2006
Last updated
01/23/2020
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