| Organization Name: | AGILITAS USA, INC. |
| NPI Number: | 1811361785 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID BROMFIELD (VP OF OPERATIONS) |
| Mailing Address: | 3680 Sangani Blvd Suite D Diberville |
| State: | MS US |
| Postal Code: | 395408703 |
| Phone Number: | 6017140315 |
| Fax Number: | 6017140316 |
| NPI Enumeration Date: | 11/16/2015 |
| NPI Last Update Date: | 11/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |