# MIND. BODY. SPIRIT. LLC

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

## Provider details

- **NPI number:** 1659044170
- **Authorized official:** DR. CORTNI COOPER DPT (DOCTOR OF PHYSICAL THERAPY)
- **Authorized official phone:** (601) 529-8829

## Contact information

- **Practice address:** 114 LINDA DR, VICKSBURG, MS 39180-8909
- **Practice address phone:** (601) 272-1756
- **Practice address fax:** (601) 272-1756
- **Mailing address:** 114 LINDA DR, VICKSBURG, MS 39180-8909
- **Mailing address phone:** (601) 272-1756
- **Mailing address fax:** (601) 272-1756

## Taxonomy

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

## Other

- **Enumeration date:** 07/29/2021
- **Last updated:** 09/13/2021