Therapy South - Gluckstadt LLC

NPI #1134784689 in Madison, Mississippi

Provider Information

NPI Number: 1134784689
Entity Type: Organization
Organization Name: Therapy South - Gluckstadt LLC
Primary Specialty: Physical Therapist
Enumeration Date: May 9, 2019
Last Updated: Jun 17, 2019

Practice Location

Address: 1716 US 51
Address 2: STE N
City: Madison
State: Mississippi
ZIP Code: 39110
Phone: (601) 499-5780

Authorized Official

Name: HANNAH KELLY
Title: CREDENTIALING SPECIALIST
Phone: (205) 745-3660

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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