| Organization Name: | NORTH VALDOSTA THERAPY SERVICES INC |
| NPI Number: | 1053338715 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT HALMAN BENNETT (ADMINISTRATOR/OWNER) |
| Mailing Address: | 4611 Tillman Bluff Rd Valdosta |
| State: | GA US |
| Postal Code: | 316024965 |
| Phone Number: | 2292190700 |
| Fax Number: | 2292190702 |
| NPI Enumeration Date: | 07/17/2006 |
| NPI Last Update Date: | 05/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT007616 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |