Healthcare Provider Details
I. General information
NPI: 1093649956
Provider Name (Legal Business Name): LITTLE MOVERS THERAPY CO., PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/08/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6210 HIGHWAY 39 N
MERIDIAN MS
39305-9113
US
IV. Provider business mailing address
10561 MOUNT CARMEL RD
BAILEY MS
39320-9794
US
V. Phone/Fax
- Phone: 601-513-4595
- Fax:
- Phone: 601-513-4595
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ALICIA
MICHELLE
SCHULTZ
Title or Position: OWNER
Credential:
Phone: 601-513-4595