Individual provider · Type 1 NPI

Carrol Shane Fortenberry, P.T.

Physical Therapist · Tupelo, MS

NPI number 1659609923 Active

Practice location

2844 Traceland Ave.
Tupelo, MS 38801

Call (188) 863-9692 Map

Fax (662) 680-5097

Mailing address

2844 Traceland Dr
Tupelo, MS 38801-4200

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000XPT0345 (MS)
Physical Therapist 225100000XPT0000008246 (TN)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1659609923

Carrol Shane Fortenberry, P.T.'s National Provider Identifier is 1659609923, issued on Nov 25, 2009. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Tupelo, MS. The record was last updated on Nov 25, 2009.