Whalio Doctors

NPI 1013323369

Agilitas USA INC.

Organisation Physical Therapy Clinic/Center Southaven, MS

Practice location

Address
3451 Goodman Rd E Suite 108, Southaven, MS 38672-9303
Phone
(662) 253-9060
Fax
(662) 253-9061
Mailing address
800 Crescent Centre Dr STE 600, Franklin, TN 37067-7286

Authorised official

Name
Andrew Lange
Title
Cfo
Phone
(615) 373-1350

Registered specialties

Physical Therapy Clinic/Center Primary
Ambulatory Health Care Facilities Taxonomy 261QP2000X

Registry record

NPI
1013323369
Entity type
Organization
NPI issued
8 Jul 2014
Record last updated
14 Jan 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.