# ACHIEVEMENT REHABILITATION AND PHYSICAL THERAPY, PLLC

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

## Provider details

- **NPI number:** 1366774143
- **Authorized official:** TERRENCE D NICKENS DPT (OWNER/PHYSICAL THERAPIST)
- **Authorized official phone:** (601) 898-1888

## Contact information

- **Practice address:** 676 S PEAR ORCHARD RD, SUITE D, RIDGELAND, MS 39157-4227
- **Practice address phone:** (601) 898-1888
- **Practice address fax:** (601) 898-1880
- **Mailing address:** PO BOX 3188, RIDGELAND, MS 39158-3188
- **Mailing address phone:** (601) 898-1888
- **Mailing address fax:** (601) 898-1880

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PT3573 | MS | Yes |

## Other

- **Enumeration date:** 02/04/2010
- **Last updated:** 02/04/2010