Organization
ELITE PHYSICAL THERAPY AND WELLNESS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAROLD D THOMPSON III DPT (PHYSICAL THERAPIST)
(601) 616-3331
Entity
Organization
Contact information
Practice address
135 7TH ST, DECATUR, MS 39327
(601) 635-4131
Mailing address
P.O BOX 194, DECATUR, MS 39327
(601) 635-4131
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT4343
MS
Other
Enumeration date
08/28/2016
Last updated
03/13/2017
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