Michael Kollin Cannon, PT

NPI #1811596232 in Long Beach, Mississippi

Provider Information

NPI Number: 1811596232
Entity Type: Individual
Name: Michael Kollin Cannon, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Oct 19, 2020
Last Updated: Oct 19, 2020

Practice Location

Address: 5107 BEATLINE RD STE 300
City: Long Beach
State: Mississippi
ZIP Code: 39560-3874
Phone: (228) 575-8429

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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