Organization
SHAPPLEY PEDIATRIC THERAPY LLC
Active
Organization
SHAPPLEY PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOMMIE JANE SHAPPLEY PT (OWNER)
(601) 408-9546
Entity
Organization
Contact information
Practice address
5 BOCAGE RD, HATTIESBURG, MS 39402-7804
(601) 408-9546
(601) 476-5289
Mailing address
PO BOX 16928, HATTIESBURG, MS 39404-6928
(601) 408-9105
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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