Shiloh Ridge Athletic Club
NPI #1205061173 in Corinth, Mississippi
Provider Information
- NPI Number
- 1205061173
- Entity Type
- Organization
- Organization Name
- Shiloh Ridge Athletic Club
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- TRI-VISTA REHAB INC
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- May 21, 2009
- Last Updated
- May 21, 2009
Practice Location
- Address
- 3303 SHILOH RIDGE RD
- City
- Corinth
- State
- Mississippi
- ZIP Code
- 38834-9698
- Phone
- (662) 287-5662
Authorized Official
- Name
- MR. KEVIN BOUTIN
- Title
- OWNER
- Phone
- (662) 287-5662
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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