| NPI | 1003053802 |
|---|---|
| Doing Business As | PT@EFITNESS |
| Entity Type | Organization |
| Authorized Contact | RODNEY KEITH GANEY Physical Therapist/Owner 228-392-0228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MS PT0841) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: MS PT0926) |
| 261QP2000X Clinic/Center, Physical Therapy (Licence: MS PT0500) | |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2009-02-26 |