Michael Kollin Cannon, PT
Physical Therapist in Long Beach, MS. Individual provider (NPI-1).
NPI number1811596232
StatusActive
Last updated in NPPESOct 19, 2020
Details
- NPI
- 1811596232
- Entity type
- Individual (NPI-1)
- Name
- Michael Kollin Cannon
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 19, 2020
- Certification date
- Oct 19, 2020
- Last updated
- Oct 19, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT6701 | MS | Yes |
Practice location
5107 Beatline Rd Ste 300Long Beach, MS 39560-3874
Phone 228-575-8429 · Fax 228-575-8891
Mailing address
251 Johnston St Se Ste 200Decatur, AL 35601-2515
Phone 256-350-1764 · Fax 256-355-0884
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All 9 Physical Therapist providers in Long Beach · All 190 providers in Long Beach
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