Organization
PURE THERAPY, LLC
Active
Other names
Pure Therapy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MICAELA TEMPLE ANDRUS SLP (HALF OWNER)
(601) 870-4360
Entity
Organization
Contact information
Practice address
7955 HUCKLEBERRY LN, SUMMIT, MS 39666-7086
(601) 870-4360
Mailing address
7955 HUCKLEBERRY LN, SUMMIT, MS 39666-7086
(601) 870-4360
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/22/2023
Last updated
09/27/2023
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