# INNOVATIVE THERAPIES INC

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

## Provider details

- **NPI number:** 1891812509
- **Authorized official:** MR. BRIAN CAIN (OWNER)
- **Authorized official phone:** (228) 832-6221

## Contact information

- **Practice address:** 12303 HIGHWAY 49, GULFPORT, MS 39503-2780
- **Practice address phone:** (228) 832-6221
- **Practice address fax:** (228) 832-4033
- **Mailing address:** 12303 HIGHWAY 49, GULFPORT, MS 39503-2780
- **Mailing address phone:** (228) 832-6221
- **Mailing address fax:** (228) 832-4033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 224Z00000X | Occupational Therapy Assistant | — | MS | — |
| 225100000X | Physical Therapist | — | MS | Yes |
| 225200000X | Physical Therapy Assistant | — | MS | — |
| 225X00000X | Occupational Therapist | — | MS | — |
| 235Z00000X | Speech-Language Pathologist | — | MS | — |

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 06/21/2018