Provider Demographics
NPI:1134317258
Name:MCMANNIS, LINDA GAY (MS, PT)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:GAY
Last Name:MCMANNIS
Suffix:
Gender:F
Credentials:MS, PT
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:GAY
Other - Last Name:SHUMAKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, PT
Mailing Address - Street 1:1130 VICTORIA AVE
Mailing Address - Street 2:
Mailing Address - City:NEW KENSINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15068-5505
Mailing Address - Country:US
Mailing Address - Phone:724-339-0381
Mailing Address - Fax:
Practice Address - Street 1:1130 VICTORIA AVE
Practice Address - Street 2:
Practice Address - City:NEW KENSINGTON
Practice Address - State:PA
Practice Address - Zip Code:15068-5505
Practice Address - Country:US
Practice Address - Phone:724-339-0381
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-15
Last Update Date:2014-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT005450L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist