# SPORTS THERAPY CENTER

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

## Provider details

- **NPI number:** 1942586383
- **Authorized official:** LEANNE PFISTER (ADMINISTRATOR)
- **Authorized official phone:** (281) 980-2997

## Contact information

- **Practice address:** 207 W JACKSON ST, SUITE F, RIDGELAND, MS 39157-2355
- **Practice address phone:** (601) 898-9503
- **Practice address fax:** (601) 898-4682
- **Mailing address:** 207 W JACKSON ST, SUITE F, RIDGELAND, MS 39157-2355
- **Mailing address phone:** (601) 898-9503
- **Mailing address fax:** (601) 898-4682

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 10/31/2011
- **Last updated:** 10/31/2011