# EXCEED PELVIC HEALTH LLC

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

## Provider details

- **NPI number:** 1609727924
- **Authorized official:** CHAD BLALACK (MEMBER)
- **Authorized official phone:** (228) 861-4218

## Contact information

- **Practice address:** 10278 CORPORATE DR, GULFPORT, MS 39503-4604
- **Practice address phone:** (228) 861-4218
- **Mailing address:** 10278 CORPORATE DR, GULFPORT, MS 39503-4604
- **Mailing address phone:** (228) 861-4218

## Taxonomy

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

## Other

- **Enumeration date:** 02/04/2026
- **Last updated:** 02/04/2026