# TOTAL BODY REHABILITATION, LLC.

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

## Provider details

- **NPI number:** 1881204154
- **Authorized official:** KIONA JAMEIL DORSEY DPT (PHYSICAL THERAPIST/OWNER)
- **Authorized official phone:** (662) 719-5269

## Contact information

- **Practice address:** 70 DELTA ST, ROLLING FORK, MS 39159-5117
- **Practice address phone:** (662) 719-5269
- **Mailing address:** 57 OASIS ROAD, ROLLING FORK, MS 39159-2631
- **Mailing address phone:** (662) 795-0432

## Taxonomy

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

## Other

- **Enumeration date:** 08/03/2020
- **Last updated:** 07/21/2021