Organization
EXCEED PELVIC HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD BLALACK (MEMBER)
(228) 861-4218
Entity
Organization
Contact information
Practice address
10278 CORPORATE DR, GULFPORT, MS 39503-4604
(228) 861-4218
Mailing address
10278 CORPORATE DR, GULFPORT, MS 39503-4604
(228) 861-4218
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/04/2026
Last updated
02/04/2026
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