Active Life Physical Therapy
NPI #1104630144 in Madison, Mississippi
Provider Information
- NPI Number
- 1104630144
- Entity Type
- Organization
- Organization Name
- Active Life Physical Therapy
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Feb 1, 2025
- Last Updated
- Feb 1, 2025
Practice Location
- Address
- 106 CAMDEN TRL
- City
- Madison
- State
- Mississippi
- ZIP Code
- 39110-6601
- Phone
- (985) 630-7912
Authorized Official
- Name
- JEREMY RAY KENNEDY, PT, DPT
- Title
- PHYSICAL THERAPIST
- Phone
- (985) 630-7912
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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