Healthcare Provider Details

I. General information

NPI: 1306929963
Provider Name (Legal Business Name): MICHEL MEURRIER PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ALL-AMERICAN DRIVE ROOM 118 STARNES CENTER
UNIVERSITY MS
38677
US

IV. Provider business mailing address

ALL-AMERICAN DRIVE ROOM 118 STARNES CENTER
UNIVERSITY MS
38677
US

V. Phone/Fax

Practice location:
  • Phone: 662-915-2027
  • Fax: 662-915-5275
Mailing address:
  • Phone: 662-915-2027
  • Fax: 662-915-5275

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT3635
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: