Healthcare Provider Details

I. General information

NPI: 1083283295
Provider Name (Legal Business Name): HOPE PHYSICAL THERAPY & PELVIC HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2021
Last Update Date: 09/09/2021
Certification Date: 09/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2041 E SHILOH RD
CORINTH MS
38834-3726
US

IV. Provider business mailing address

2041 E SHILOH RD
CORINTH MS
38834-3726
US

V. Phone/Fax

Practice location:
  • Phone: 662-415-2414
  • Fax:
Mailing address:
  • Phone: 662-396-0080
  • Fax: 662-396-0088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KATIE LEIGH REEVES
Title or Position: CEO
Credential: PT
Phone: 662-396-0080