Organization
RESILIENT THERAPEUTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA WALKER (OWNER)
(769) 226-1925
Entity
Organization
Contact information
Practice address
2084 DUNBARTON DR STE H, JACKSON, MS 39216-5016
(769) 226-1925
Mailing address
113 LENNIS WELCH RD, MAGEE, MS 39111-5404
(769) 226-1925
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
171100000X
Acupuncturist
—
—
225700000X
Massage Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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