Healthcare Provider Details

I. General information

NPI: 1750613469
Provider Name (Legal Business Name): NAPOLI PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2010
Last Update Date: 02/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2631 MCINGVALE RD SUITE 130
HERNANDO MS
38632-5934
US

IV. Provider business mailing address

8293 MONTROSE DR
OLIVE BRANCH MS
38654-7907
US

V. Phone/Fax

Practice location:
  • Phone: 662-796-1882
  • Fax: 662-298-5181
Mailing address:
  • Phone: 662-796-1882
  • Fax: 662-298-5181

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number3439
License Number StateMS

VIII. Authorized Official

Name: GUIDANO NAPOLI
Title or Position: PRESIDENT
Credential: MPT
Phone: 662-796-1882