Organization
I.P.T.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY G AGENT RPT (PRESIDENT)
(601) 917-5770
Entity
Organization
Contact information
Practice address
44 OLD HIGHWAY 45 LOOP ROAD, WAYNESBORO, MS 39367
(601) 687-9813
(601) 687-9973
Mailing address
PO BOX 3186, MERIDIAN, MS 39303-3186
(601) 917-5770
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT406
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770521
—
MS
Enumeration date
12/27/2007
Last updated
12/27/2007
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