Healthcare Provider Details

I. General information

NPI: 1942450705
Provider Name (Legal Business Name): FIRST STEP REHABILITATION INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2008
Last Update Date: 09/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3303 SHILOH RIDGE RD
CORINTH MS
38834-9698
US

IV. Provider business mailing address

102 COVEWOOD LN
CORINTH MS
38834-7200
US

V. Phone/Fax

Practice location:
  • Phone: 662-808-2210
  • Fax: 662-287-4550
Mailing address:
  • Phone: 662-808-2210
  • Fax: 662-287-4550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT1442
License Number StateMS

VIII. Authorized Official

Name: MR. JAMES MICHAEL BELL SR.
Title or Position: OWNER/DIRECTOR
Credential: RPT
Phone: 662-808-2210