Organization
REVIVE PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES HARVEY GARRETT JR. MSPT (OWNER/PHYSICAL THERAPIST)
(662) 295-1847
Entity
Organization
Contact information
Practice address
3549 BLUECUTT RD, COLUMBUS, MS 39705-1324
(662) 295-1847
Mailing address
3549 BLUECUTT RD, COLUMBUS, MS 39705-1324
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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