Healthcare Provider Details

I. General information

NPI: 1497692388
Provider Name (Legal Business Name): HEAL OCCUPATIONAL & PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 HIGHWAY 6 W
BATESVILLE MS
38606-2507
US

IV. Provider business mailing address

126 HIGHWAY 6 W
BATESVILLE MS
38606-2507
US

V. Phone/Fax

Practice location:
  • Phone: 662-360-3006
  • Fax:
Mailing address:
  • Phone: 662-360-3006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: ANNE JORDAN COLE
Title or Position: MANAGING MEMBER
Credential:
Phone: 662-360-3006