Healthcare Provider Details

I. General information

NPI: 1154992014
Provider Name (Legal Business Name): CARWILE REHAB & WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2021
Last Update Date: 07/01/2021
Certification Date: 07/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 BETHLEHEM CHURCH RD
KILMICHAEL MS
39747-9445
US

IV. Provider business mailing address

600 BETHLEHEM CHURCH RD
KILMICHAEL MS
39747-9445
US

V. Phone/Fax

Practice location:
  • Phone: 662-230-0771
  • Fax:
Mailing address:
  • Phone: 662-230-0771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: CHRISTY CARWILE
Title or Position: OWNER
Credential: DPT
Phone: 662-230-0771