Organization
EXCEL PHYSICAL THERAPY AND WELLNESS CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RASHAD SMITH PT, DPT (OWNER, CHIEF EXECUTIVE OFFICER)
(601) 260-5767
Entity
Organization
Contact information
Practice address
107 AMETHYST LN, BRANDON, MS 39047-6376
(601) 260-5767
Mailing address
107 AMETHYST LN, BRANDON, MS 39047-6376
(601) 260-5767
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT4493
MS
Other
Enumeration date
07/10/2015
Last updated
08/27/2015
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