| NPI | 1316707946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISHA MICHALLE MASSEY Owner/ Physical Therapist 601-481-5815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2024-05-10 |