Organization
TRI-VISTA REHAB, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN TROY BOUTIN OTR (PRESIDENT)
(662) 231-7304
Entity
Organization
Contact information
Practice address
90 CLARK BLVD, A, TUPELO, MS 38804-2801
(662) 840-0535
Mailing address
PO BOX 3592, TUPELO, MS 38803
(662) 840-0535
(662) 842-7915
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/03/2006
Last updated
09/27/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up