Provider Demographics
NPI:1023895398
Name:EXCEED OF MS, LLC
Entity type:Organization
Organization Name:EXCEED OF MS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:HARMON
Authorized Official - Last Name:CROW
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:662-207-3849
Mailing Address - Street 1:12261 HIGHWAY 49 STE 1
Mailing Address - Street 2:
Mailing Address - City:GULFPORT
Mailing Address - State:MS
Mailing Address - Zip Code:39503-2976
Mailing Address - Country:US
Mailing Address - Phone:228-641-2880
Mailing Address - Fax:866-807-1723
Practice Address - Street 1:920 CEDAR LAKE RD STE S
Practice Address - Street 2:
Practice Address - City:BILOXI
Practice Address - State:MS
Practice Address - Zip Code:39532-2107
Practice Address - Country:US
Practice Address - Phone:228-324-9145
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-11
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty