Healthcare Provider Details

I. General information

NPI: 1093662157
Provider Name (Legal Business Name): TRUPATH RESPIRATORY AND CLINICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2026
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

631 WESTFIELD DR
PEARL MS
39208-9434
US

IV. Provider business mailing address

631 WESTFIELD DR
PEARL MS
39208-9434
US

V. Phone/Fax

Practice location:
  • Phone: 601-832-0074
  • Fax:
Mailing address:
  • Phone: 601-832-0074
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2278P1005X
TaxonomyPulmonary Rehabilitation Certified Respiratory Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2279P1005X
TaxonomyPulmonary Rehabilitation Registered Respiratory Therapist
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM HUTCHINS
Title or Position: OWNER
Credential:
Phone: 601-832-0074