NPI 1346916632
Evolutions on Fifth, LLC
Practice location
- Address
- 122 5th St N, Columbus, MS 39701-4522
- Phone
- (662) 630-5160
Authorised official
- Name
- Jeff Bolling
- Title
- Director
- Phone
- (662) 497-0457
Registered specialties
Mechanotherapist
Primary
Registry record
- NPI
- 1346916632
- Entity type
- Organization
- NPI issued
- 18 Aug 2021
- Record last updated
- 18 Aug 2021
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.