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REGGIE WHITE CARDIO-PULMONARY REHABILITATION CENTER LLC NPI 1174855464


NPI Information

NPI: 1174855464
Provider Name: REGGIE WHITE CARDIO-PULMONARY REHABILITATION CENTER LLC
Classification: Physical Therapist - 2251C2600X
Entity Type: Organization

Specialization: Cardiopulmonary

Address:
7420 GUTHRIE DR N
STE. 108
SOUTHAVEN, MS
ZIP 38671
Phone: (662) 349-9802
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REGGIE WHITE CARDIO-PULMONARY REHABILITATION CENTER LLC is a cardiopulmonary physical therapist in Southaven, MS. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Cardiovascular & Pulmonary Physical Therapy, who has demonstrated specialized knowledge and skill in cardiovascular and pulmonary anatomy and physiology medicine, rehabilitation, critical care, and emergency and trauma. REGGIE WHITE CARDIO-PULMONARY REHABILITATION CENTER LLC NPI is 1174855464. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7420 GUTHRIE DR N
STE. 108
SOUTHAVEN, MS
ZIP 38671-876
Phone: (662) 349-9802

The provider's authorized official is Derek Evin Denman .
The authorized official title is Ceo/president and has the following contact phone number (901) 246-0767.

The enumeration date for this NPI number is 2/11/2010 and was last updated on 2/11/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251C2600XPhysical TherapistCardiopulmonaryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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