Individual provider · Type 1 NPI
Shatessie Marie Ford, CRT
Durable Medical Equipment & Medical Supplies · Okolona, MS
NPI number
1487053740
Active
Practice location
211 E Main St
Okolona, MS 38860-1529
Mailing address
308 S Gatlin St
Okolona, MS 38860-2005
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies Primary | 332B00000X | 200003542 (MS) |
Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
About NPI 1487053740
Shatessie Marie Ford, CRT's National Provider Identifier is 1487053740, issued on Aug 21, 2014. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Okolona, MS. The record was last updated on Oct 8, 2014.