IndividualActive
Amy Mansfield, PT
NPI 1700066636 · Physical Therapist · Southaven, MS
Provider details
- NPI number
- 1700066636
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1699 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
7900 Airways Blvd Ste 2
Southaven, MS 38671-4113
Phone: (662) 536-4096
Approximate (ZIP-level) locationGet directions
Mailing address
711 Avignon Dr
Ridgeland, MS 39157-5120
Additional practice locations (1)
- 711 Avignon DrRidgeland, MS 39157-5120Phone: (601) 605-6777Fax: (601) 605-8869
Registry dates
- Enumerated
- 2007-11-08
- Last updated
- 2026-04-09
- Certified
- 2026-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.