Organization
SPORTS THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENAE UPTON (OFFICE MANAGER)
(601) 420-6867
Entity
Organization
Contact information
Practice address
201 E LAYFAIR DR, STE 125, FLOWOOD, MS 39232-7604
(601) 420-6867
(601) 664-1006
Mailing address
201 E LAYFAIR DR, STE 125, FLOWOOD, MS 39232-7604
(601) 420-6867
(601) 664-1006
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1265
MS
Other
Enumeration date
05/07/2007
Last updated
08/22/2020
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