Organization
ELEVATE PHYSICAL THERAPY AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHARINE B DALE DPT (OWNER)
(662) 897-4835
Entity
Organization
Contact information
Practice address
103 PROFESSIONAL PL, GREENWOOD, MS 38930-2756
(662) 897-4835
Mailing address
103 PROFESSIONAL PL, GREENWOOD, MS 38930-2756
(662) 897-4835
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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