# GPTRS II

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Genesis Physical Therapy and Rehabilitation Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427361013
- **Authorized official:** GREGORY H TRUSSELL PT (DIRECTOR)
- **Authorized official phone:** (601) 898-4324

## Contact information

- **Practice address:** 728 CLINTON PARKWAY, SUITE A, CLINTON, MS 39056
- **Practice address phone:** (601) 898-7527
- **Practice address fax:** (601) 898-7577
- **Mailing address:** 308 CORPORATE DR, RIDGELAND, MS 39157-8803

## Taxonomy

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

## Other

- **Enumeration date:** 07/23/2010
- **Last updated:** 07/23/2010