Provider Demographics
NPI:1700598349
Name:HULING PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:HULING PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARCUS
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:HULING
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:901-359-5126
Mailing Address - Street 1:9571 PLANTATION OAKS DR
Mailing Address - Street 2:
Mailing Address - City:OLIVE BRANCH
Mailing Address - State:MS
Mailing Address - Zip Code:38654-9088
Mailing Address - Country:US
Mailing Address - Phone:901-359-5126
Mailing Address - Fax:
Practice Address - Street 1:6542 GOODMAN RD STE 101
Practice Address - Street 2:
Practice Address - City:OLIVE BRANCH
Practice Address - State:MS
Practice Address - Zip Code:38654-5559
Practice Address - Country:US
Practice Address - Phone:662-874-5964
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-14
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty