| NPI | 1477670081 |
|---|---|
| Other Name | MID-SOUTH |
| Entity Type | Organization |
| Authorized Contact | JACK ANTHONY ELLIS Physical Therapist 205-914-8588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH4693) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |