Organization Name: | BAPTIST PT- LYMPHEDEMA CLINIC |
NPI Number: | 1053786996 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMY GRISSETT (BILLING MANAGER) |
Mailing Address: | 1225 N State St Jackson |
State: | MS US |
Postal Code: | 392022064 |
Phone Number: | 6019746243 |
Fax Number: | |
NPI Enumeration Date: | 12/03/2015 |
NPI Last Update Date: | 12/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
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 |