Kent, Ike Manning

Kent, Ike Manning is an individual health care provider with primary practice located at 212 West Hansell Street , Thomasville GA 31792. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Kent, Ike Manning can be contacted via phone (229) 228-8050.

Contact Information

Primary practice address
212 West Hansell Street Thomasville GA 31792
Phone: (229) 228-8050
Fax: (229) 228-8594
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT004826 Georgia

Profile Details

NPI number 1144359043
LBN Legal business name Kent, Ike Manning
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144359043 NPPES
Georgia Other PT004826 LICENSE

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