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John Paul Bumgardner, PT
Specialist in Petal, Mississippi
NPI 1447359229

John Paul Bumgardner is a Specialist based in Petal, MS. John Paul Bumgardner practices in Petal, MS and has the professional credentials of PT. The NPI Number for John Paul Bumgardner is 1447359229 and holds a License No. PT3992 (Mississippi).

The current practice location address for John Paul Bumgardner is 1145 Highway 42, Petal, MS and can be reached out via phone at 601-544-0500 and via fax at 601-544-0505.

Location: 1145 Highway 42, Petal, MS, 39465-3806
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447359229
Provider Name
John Paul Bumgardner
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
1145 Highway 42, Petal, MS, 39465-3806
Phone Number
601-544-0500
Fax Number
601-544-0505
Provider Enumeration Date
09/21/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1145 Highway 42
City
Petal
State
Mississippi
Zip
39465-9740
Phone Number
601-544-0500
Fax Number
601-544-0505
person
Provider Business Mailing Address Details
Address
1145 Highway 42
City
Petal
State
Mississippi
Zip
39465-9740
Phone Number
601-544-0500
Fax Number
601-544-0505
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
PT3992 (Mississippi)
Definition
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.
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