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Organization

PROACTIVE PHYSICAL THERAPY LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KENDRIQUE AKEEM MORGAN DPT (OWNER)
(601) 218-5004
Entity
Organization

Contact information

Practice address
701 ANTHONY ST, PORT GIBSON, MS 39150-2053
(601) 218-5004
Mailing address
701 ANTHONY ST, PORT GIBSON, MS 39150-2053
(601) 994-3548
(601) 448-0234

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
03/17/2025
Last updated
01/05/2026
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