# BAPTIST PHYSICAL THERAPHY & SPORTSCARE-PEARL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154605087
- **Authorized official:** AMY GRISSETT (BILLING MANAGER)
- **Authorized official phone:** (601) 944-1717

## Contact information

- **Practice address:** 309 AIRPORT RD S STE B, PEARL, MS 39208-6678
- **Practice address phone:** (601) 939-8155
- **Practice address fax:** (601) 939-8396
- **Mailing address:** 309 AIRPORT RD S STE B, PEARL, MS 39208-6678
- **Mailing address phone:** (601) 939-8155
- **Mailing address fax:** (601) 939-8396

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 10/11/2011
- **Last updated:** 10/11/2011