Revive Physical Therapy, LLC
NPI #1962174326 in Columbus, Mississippi
Provider Information
- NPI Number
- 1962174326
- Entity Type
- Organization
- Organization Name
- Revive Physical Therapy, LLC
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Oct 4, 2021
- Last Updated
- Oct 4, 2021
Practice Location
- Address
- 3549 BLUECUTT RD
- City
- Columbus
- State
- Mississippi
- ZIP Code
- 39705-1324
- Phone
- (662) 295-1847
Authorized Official
- Name
- MR. JAMES HARVEY GARRETT JR., MSPT
- Title
- OWNER/PHYSICAL THERAPIST
- Phone
- (662) 295-1847
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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