Provider Demographics
NPI:1629375894
Name:NEWMAN, LEE ARTHUR III (PT)
Entity type:Individual
Prefix:MR
First Name:LEE
Middle Name:ARTHUR
Last Name:NEWMAN
Suffix:III
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:1201 HIGHWAY 49 S
Mailing Address - Street 2:SUITE 2
Mailing Address - City:RICHLAND
Mailing Address - State:MS
Mailing Address - Zip Code:39218-9425
Mailing Address - Country:US
Mailing Address - Phone:769-233-8844
Mailing Address - Fax:769-251-1825
Practice Address - Street 1:1201 HIGHWAY 49 S
Practice Address - Street 2:SUITE 2
Practice Address - City:RICHLAND
Practice Address - State:MS
Practice Address - Zip Code:39218-9425
Practice Address - Country:US
Practice Address - Phone:769-233-8844
Practice Address - Fax:769-251-1825
Is Sole Proprietor?:No
Enumeration Date:2011-02-23
Last Update Date:2015-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSPT3359225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist