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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GRACE MYOFASCIAL CLINIC, LLC

Active Organization

GRACE MYOFASCIAL CLINIC, LLC is a Physical Therapy Clinic organization located in JACKSON, Mississippi. NPI 1457656639 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Clinic · JACKSON, MS

Registration Details

NPI Number
1457656639
Provider Type
Organization
NPI Issued
Jan 19, 2011 (15.576237009852 yrs)
Last Updated
Jul 17, 2012
License
PT3632 (MS)

Practice Information

Address
3000 OLD CANTON RD STE 240
JACKSON, MS, 392164235
Browse MS providers · Browse ZIP 39216
Phone
6017170910
Fax
7692576382
Primary Specialty
Physical Therapy Clinic
261QP2000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.