Individual
AMY R MANSFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7900 AIRWAYS BLVD STE 2, SOUTHAVEN, MS 38671-4113
(662) 536-4096
Mailing address
711 AVIGNON DR, RIDGELAND, MS 39157-5120
(601) 605-6777
(601) 605-8869
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1699
MS
225100000X
Physical Therapist
Primary
CP05488OT
AL
225100000X
Physical Therapist
PT1699
MS
Other
Enumeration date
11/08/2007
Last updated
04/09/2026
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