Provider Demographics
NPI:1326707936
Name:NEXT STEP PHYSICAL THERAPY AND WELLNESS LLC
Entity Type:Organization
Organization Name:NEXT STEP PHYSICAL THERAPY AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CALE
Authorized Official - Middle Name:PORTER
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:901-210-3333
Mailing Address - Street 1:1759 WOOTEN DR
Mailing Address - Street 2:
Mailing Address - City:NESBIT
Mailing Address - State:MS
Mailing Address - Zip Code:38651-2301
Mailing Address - Country:US
Mailing Address - Phone:901-210-3333
Mailing Address - Fax:
Practice Address - Street 1:1759 WOOTEN DR
Practice Address - Street 2:
Practice Address - City:NESBIT
Practice Address - State:MS
Practice Address - Zip Code:38651-2301
Practice Address - Country:US
Practice Address - Phone:901-210-3333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-10
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty