| NPI | 1306688320 |
|---|---|
| Doing Business As | IMPACT PHYSICAL THERAPY AND ATHLETIC PERFORMANCE |
| Entity Type | Organization |
| Authorized Contact | WESLEY LAWLESS Owner 601-502-3765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2024-06-10 |