Organization Name: | TRI THERAPY PLLC |
NPI Number: | 1023280468 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD A BARKER (PARTNER) |
Mailing Address: | 128 Courthouse Sq Suite B Monticello |
State: | MS US |
Postal Code: | 396546014 |
Phone Number: | 6015872112 |
Fax Number: | 6015872112 |
NPI Enumeration Date: | 03/26/2008 |
NPI Last Update Date: | 07/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |