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Individual

SHANNA JADE MANNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
8110 CAMP CREEK RD STE 106, OLIVE BRANCH, MS 38654-1622
(662) 893-1933
(662) 893-1934
Mailing address
800 CRESCENT CENTRE DR STE 600, FRANKLIN, TN 37067-7286
(615) 373-1350
(615) 221-9054

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
MS
225100000X
Physical Therapist
TN

Other

Enumeration date
08/10/2017
Last updated
08/10/2017
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