Organization Name: | INTEGRATIVE PHYSICAL THERAPY, INC |
NPI Number: | 1265616254 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUSAN H JENKINS (OWNER/PHYSICAL THERAPIST) |
Mailing Address: | 8880 Germantown Rd Ste 200 Olive Branch |
State: | MS US |
Postal Code: | 386548546 |
Phone Number: | 6628901142 |
Fax Number: | 6628901144 |
NPI Enumeration Date: | 12/26/2007 |
NPI Last Update Date: | 12/26/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT0682 |
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 |