Provider Demographics
NPI:1851999288
Name:KEEPING ALIVE MOBILITY THERAPY LLC
Entity Type:Organization
Organization Name:KEEPING ALIVE MOBILITY THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JASMYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:SEARCY
Authorized Official - Suffix:
Authorized Official - Credentials:MOTR/L
Authorized Official - Phone:662-255-9910
Mailing Address - Street 1:1302 AUDUBON DR
Mailing Address - Street 2:
Mailing Address - City:TUPELO
Mailing Address - State:MS
Mailing Address - Zip Code:38801-6120
Mailing Address - Country:US
Mailing Address - Phone:662-255-9910
Mailing Address - Fax:
Practice Address - Street 1:1302 AUDUBON DR
Practice Address - Street 2:
Practice Address - City:TUPELO
Practice Address - State:MS
Practice Address - Zip Code:38801-6120
Practice Address - Country:US
Practice Address - Phone:662-255-9910
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-16
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation