Revolution Physical Therapy Llc

LBN: Revolution Physical Therapy Llc
Revolution Physical Therapy Llc is an health care organization with primary practice located at 3075 Goodman Rd E Suite 7 , Southaven MS 38672-6359. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Revolution Physical Therapy Llc can be contacted via phone (662) 349-9288, or through Graham, Amy via phone (662) 349-9288.

Contact Information

Primary practice address
3075 Goodman Rd E Suite 7 Southaven MS 38672-6359
Phone: (662) 349-9288
Fax: (662) 349-9289
Website:
Map and Directions
Authorized official contact:
Name: Graham, Amy DPT
Phone: (662) 349-9288

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1518469063
LBN Legal business name Revolution Physical Therapy Llc
DBA Doing business as
Authorized official Graham, Amy DPT
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2018
Last updated May 30th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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