# PURE THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pure Therapy, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669251369
- **Authorized official:** MICAELA TEMPLE ANDRUS SLP (HALF OWNER)
- **Authorized official phone:** (601) 870-4360

## Contact information

- **Practice address:** 7955 HUCKLEBERRY LN, SUMMIT, MS 39666-7086
- **Practice address phone:** (601) 870-4360
- **Mailing address:** 7955 HUCKLEBERRY LN, SUMMIT, MS 39666-7086
- **Mailing address phone:** (601) 870-4360

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/22/2023
- **Last updated:** 09/27/2023