Provider Demographics
NPI:1851003917
Name:MPROVE PHYSICAL THERAPY
Entity Type:Organization
Organization Name:MPROVE PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPY
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:MILLS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:601-323-6431
Mailing Address - Street 1:627 WINGATE RD
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:MS
Mailing Address - Zip Code:39423-2415
Mailing Address - Country:US
Mailing Address - Phone:601-323-6431
Mailing Address - Fax:
Practice Address - Street 1:627 WINGATE RD
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:MS
Practice Address - Zip Code:39423-2415
Practice Address - Country:US
Practice Address - Phone:601-323-6431
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-21
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy