Organization
TRI-VISTA REHAB TN, LLC
Active
Other names
Tri-Vista Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY SIMPSON (PRACTICE MANAGER)
(662) 840-0535
Entity
Organization
Contact information
Practice address
8617 HAVENHURST DR, GERMANTOWN, TN 38138-7734
(662) 840-0535
(662) 842-7915
Mailing address
PO BOX 3592, TUPELO, MS 38803-3592
(662) 840-0535
(662) 842-7915
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/19/2022
Last updated
05/20/2024
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