Provider Demographics
NPI:1750613469
Name:NAPOLI PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:NAPOLI PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GUIDANO
Authorized Official - Middle Name:
Authorized Official - Last Name:NAPOLI
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:662-796-1882
Mailing Address - Street 1:8293 MONTROSE DR
Mailing Address - Street 2:
Mailing Address - City:OLIVE BRANCH
Mailing Address - State:MS
Mailing Address - Zip Code:38654-7907
Mailing Address - Country:US
Mailing Address - Phone:662-796-1882
Mailing Address - Fax:662-298-5181
Practice Address - Street 1:2631 MCINGVALE RD
Practice Address - Street 2:SUITE 130
Practice Address - City:HERNANDO
Practice Address - State:MS
Practice Address - Zip Code:38632-5934
Practice Address - Country:US
Practice Address - Phone:662-796-1882
Practice Address - Fax:662-298-5181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-04
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS3439261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy