Trail Blazin Therapy Llc

LBN: Trail Blazin Therapy Llc
Trail Blazin Therapy Llc is an health care organization with primary practice located at 260 Barnes Rd , Florence MS 39073-8066. 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. Trail Blazin Therapy Llc can be contacted via phone (601) 845-0876, or through Benton, Rachelle via phone (601) 845-0876.

Contact Information

Primary practice address
260 Barnes Rd Florence MS 39073-8066
Phone: (601) 845-0876
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Benton, Rachelle Physical Therapist (PT)
Phone: (601) 845-0876

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X P.T.0978 Mississippi

Profile Details

NPI number 1336367135
LBN Legal business name Trail Blazin Therapy Llc
DBA Doing business as
Authorized official Benton, Rachelle Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1336367135 NPPES
Mississippi MEDICAID 09016256

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