NPI | 1669251369 |
---|---|
Doing Business As | PURE THERAPY, LLC |
Entity Type | Organization |
Authorized Contact | MICAELA TEMPLE ANDRUS Half Owner 601-870-4360 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2023-09-22 |
Last Update Date | 2023-09-27 |