Healthcare Provider Details

I. General information

NPI: 1699145490
Provider Name (Legal Business Name): INMOTION REHAB, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2015
Last Update Date: 03/22/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5140 GALAXIE DR STE 106
JACKSON MS
39206-4354
US

IV. Provider business mailing address

PO BOX 75
MADISON MS
39130-0075
US

V. Phone/Fax

Practice location:
  • Phone: 601-940-5906
  • Fax: 888-316-6369
Mailing address:
  • Phone: 662-714-3122
  • Fax: 662-714-3124

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: MRS. CAROL D SWITZER
Title or Position: ADMINISTRATOR
Credential:
Phone: 601-940-5906