MEDICARE: JOHN MORGAN ROBINSON DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT 5741	MS

General Provider Information

NPI Number	:	1851757975
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN MORGAN ROBINSON DPT

Provider Business Mailing Address
First Line	:	1309 LAMAR ST
Second Line	:
City	:	CLEVELAND
State	:	MS
Zip	:	38771
Country	:	US
Telephone Number	:	662-588-1542
Fax Number	:

Provider Business Practice Location Address
First Line	:	1309 LAMAR ST
Second Line	:
City	:	CLEVELAND
State	:	MS
Zip	:	38732-3007
Country	:	US
Telephone Number	:	662-588-1542
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2016
Last Update Date	:	01/05/2016

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