Nicole E Mukoda (NPI# 1780008862, PAC ID# 2567693179) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1780008862 |
| PAC ID by PECOS | 2567693179 |
| Professional Enrollment ID | I20171030002972 |
| Full Name | Nicole E Mukoda |
| Organization Legal Name | US PT TEXAS INC |
| Address |
7065 Airways Blvd Suite 110 Southaven MS 38671-5873 |
| Phone Number | 6623798997 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 2466577366 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 7065 Airways Blvd, Suite 110, Southaven, MS 38671-5873 | 6623798997 | US PT TEXAS INC |
| Organization Legal Name | US PT TEXAS INC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura Asbridge Halbrook | Physical Therapy | Us Pt Texas Inc | 7065 Airways Blvd, Suite 110, Southaven, MS 38671-5873 |
| Lindsey Neri | Physical Therapy | Us Pt Texas Inc | 7065 Airways Blvd, Suite 110, Southaven, MS 38671-5873 |
| Shaheen L Behrouz | Physical Therapy | Us Pt Texas Inc | 7065 Airways Blvd, Suite 110, Southaven, MS 38671-5873 |
| Laura Vaughn | Physical Therapy | Us Pt Texas Inc | 7065 Airways Blvd, Suite 110, Southaven, MS 38671-5873 |
| Brittney A Tate | Physical Therapy | Us Pt Texas Inc | 7065 Airways Blvd, Southaven, MS 38671-5873 |
| Caitlin Dozier | Physical Therapy | Us Pt Texas Inc | 7065 Airways Blvd, Southaven, MS 38671-5873 |
| Street Address |
7065 AIRWAYS BLVD SUITE 110 |
| City | SOUTHAVEN |
| State | MS |
| Zip | 38671-5873 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura Asbridge Halbrook | Physical Therapy | Us Pt Texas Inc | 7065 Airways Blvd, Suite 110, Southaven, MS 38671-5873 |
| Lindsey Neri | Physical Therapy | Us Pt Texas Inc | 7065 Airways Blvd, Suite 110, Southaven, MS 38671-5873 |
| Shaheen L Behrouz | Physical Therapy | Us Pt Texas Inc | 7065 Airways Blvd, Suite 110, Southaven, MS 38671-5873 |
| Laura Vaughn | Physical Therapy | Us Pt Texas Inc | 7065 Airways Blvd, Suite 110, Southaven, MS 38671-5873 |
| Brittney A Tate | Physical Therapy | Us Pt Texas Inc | 7065 Airways Blvd, Southaven, MS 38671-5873 |
| Caitlin Dozier | Physical Therapy | Us Pt Texas Inc | 7065 Airways Blvd, Southaven, MS 38671-5873 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Courtney Williamson Sandridge | Nurse Practitioner | Midsouth Medicine | 2149 Stateline W Rd, Southaven, MS 38671-1222 |
| Ginger L Stewart | Nurse Practitioner | Midsouth Medicine | 2149 Stateline W Rd, Southaven, MS 38671-1222 |
| Amy M Perkins | Nurse Practitioner | Midsouth Medicine | 2149 Stateline W Rd, Southaven, MS 38671-1222 |
| Amy Malai Mclennan | Nurse Practitioner | Midsouth Medicine | 2149 Stateline W Rd, Southaven, MS 38671-1222 |
| Ciao Newman | Internal Medicine | Midsouth Medicine | 2149 Stateline W Rd, Southaven, MS 38671-1222 |
| Edward A Steward | General Practice | 1669 Stateline Rd W, Suite A, Southaven, MS 38671-1223 | |
| Mary A Hall | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 9140 Hwy 51 N, Southaven, MS 38671-1233 |
| Asma Ghani | Registered Dietitian Or Nutrition Professional | Delta Gastroenterology P.C. | 9140 Hwy 51 N, Southaven, MS 38671-1233 |
| Cassandra L Anderson | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 9140 Hwy 51 N, Southaven, MS 38671-1233 |
| Paul T. Martin | Chiropractic | 9040 Millbranch Rd, Southaven, MS 38671-1420 | |
| Find all physicians in zip 38671 | |||
| City | SOUTHAVEN |
| Zip Code | 38671 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | SOUTHAVEN + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Nicole E Mukoda.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.