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General NPI Number Information
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NPI Number | 1548914401
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Entity Type | Organization
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Legal Business Name | PROPRIO THERAPY
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Dates
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Enumeration Date | 02/09/2022
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Last Update Date | 02/09/2022
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Provider Practice Location Address
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Address Line | 6108 VILLAGE OAKS DR STE C
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City | PENSACOLA
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State | FL
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Zip | 32504-6907
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Country | US
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Telephone | 334-488-4711
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Fax |
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Provider Business Mailing Address
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Address Line | 8720 SCENIC HWY
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City | PENSACOLA
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State | FL
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Zip | 32514-8265
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Country | US
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Telephone | 334-488-4711
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | MRS. KELLY PARKER ARMSTEAD
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Credential | MSOT/L
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Telephone | 334-488-4711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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