SOG PHYSICAL THERAPY NPI 1902361660

NPI Information

NPI: 1902361660
Provider Name: SOG PHYSICAL THERAPY
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
1211 S GLOSTER ST STE C
TUPELO, MS
ZIP 38801
Phone: (662) 767-4200
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SOG PHYSICAL THERAPY is a multi-specialty clinic center in Tupelo, MS. SOG PHYSICAL THERAPY NPI is 1902361660. The provider is registered as an organization entity type.

The provider's business location address is:

1211 S GLOSTER ST STE C
TUPELO, MS
ZIP 38801-535
Phone: (662) 767-4200
Fax: (767) 420-4662

The provider's authorized official is Thomas Luster .
The authorized official title is Ceo and has the following contact phone number (662) 767-4200.

The enumeration date for this NPI number is 2/7/2019 and was last updated on 2/7/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

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: 4/28/2024

NPI Synchronization or Removal

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