Provider Demographics
NPI:1851066989
Name:IN TOUCH PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:IN TOUCH PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND PT
Authorized Official - Prefix:
Authorized Official - First Name:SHARMON
Authorized Official - Middle Name:R
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:601-790-0250
Mailing Address - Street 1:1425 LAKELAND DR STE 100E
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39216-4725
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1425 LAKELAND DRIVE
Practice Address - Street 2:SUITE 100 E
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39216-4725
Practice Address - Country:US
Practice Address - Phone:601-790-0250
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-11
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy