Madison Healthplex & Sports Performance Center LLC

NPI #1891117420 in Madison, Mississippi

Provider Information

NPI Number: 1891117420
Entity Type: Organization
Organization Name: Madison Healthplex & Sports Performance Center LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jan 16, 2014
Last Updated: Feb 27, 2014

Practice Location

Address: 501 BAPTIST DR
City: Madison
State: Mississippi
ZIP Code: 39110-2026
Phone: (601) 944-1717

Authorized Official

Name: AMY GRISSETT
Title: DIRECTOR OF OPERATIONS
Phone: 60194417172

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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