SHANNON MCINTOSH — Medicare Enrolled Provider (PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE, MS)
SHANNON MCINTOSH — Medicare Enrolled Provider (PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE, MS) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: SHANNON MCINTOSH; Type: Individual; NPI: 1003104415.
| Name | SHANNON MCINTOSH |
|---|---|
| Type | Individual |
| NPI | 1003104415 |
| Provider type | PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE |
| State | MS |
| Enrollment ID | I20240621000018 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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