# ENCORE REHABILITATION INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Encore Rehab of Starkville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174867253
- **Authorized official:** PAUL HENDERSON (PRESIDENT)
- **Authorized official phone:** (256) 350-1764

## Contact information

- **Practice address:** 450 HIGHWAY 12 W, SUITE D, STARKVILLE, MS 39759-3697
- **Practice address phone:** (662) 324-1314
- **Practice address fax:** (662) 324-1317
- **Mailing address:** PO BOX 8419, BILOXI, MS 39535-8087
- **Mailing address phone:** (228) 388-5714
- **Mailing address fax:** (228) 388-0017

## Taxonomy

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

## Other

- **Enumeration date:** 11/15/2012
- **Last updated:** 11/30/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 09015077 | — | MS |
| 01 | — | 1033218524 | GROUP NPI | MS |