Individual
MAKALA SHANTEL LANKSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2480 S FRONTAGE RD STE F, VICKSBURG, MS 39180-5251
(601) 757-9799
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7658
MS
Other
Enumeration date
09/30/2025
Last updated
04/27/2026
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