Individual provider · Type 1 NPI
John Paul Bumgardner, PT
Specialist · Petal, MS
NPI number
1447359229
Active
Practice location
1145 Highway 42
Petal, MS 39465-9740
Fax (601) 544-0505
Mailing address
322 Baker St
Petal, MS 39465-3806
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | PT3992 (MS) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3 other providers at this address
Other specialist providers in Petal
About NPI 1447359229
John Paul Bumgardner, PT's National Provider Identifier is 1447359229, issued on Sep 21, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Petal, MS. The record was last updated on Jul 8, 2007.