Organization
ADVANCED PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCUS SHANNON KING PT, ATC/LAT (SOLE MEMBER, PHYSICAL THERAPIST)
(901) 652-0413
Entity
Organization
Contact information
Practice address
6399 GOODMAN RD, SUITE 108, OLIVE BRANCH, MS 38654-7070
(901) 652-0413
Mailing address
6399 GOODMAN RD, SUITE 108, OLIVE BRANCH, MS 38654-7070
(901) 652-0413
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/28/2012
Last updated
01/09/2025
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