Provider Demographics
NPI:1003791401
Name:STEWART, ANNA BELLE (DPT,CDNT)
Entity type:Individual
Prefix:
First Name:ANNA BELLE
Middle Name:
Last Name:STEWART
Suffix:
Gender:F
Credentials:DPT,CDNT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 N RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:MS
Mailing Address - Zip Code:39110-7700
Mailing Address - Country:US
Mailing Address - Phone:601-382-1012
Mailing Address - Fax:
Practice Address - Street 1:1073 HIGHWAY 51 STE 107
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:MS
Practice Address - Zip Code:39110-9015
Practice Address - Country:US
Practice Address - Phone:601-203-3032
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS7975225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist