MEDICARE: THERAPY STAFF SOLUTIONS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM2500X	Medical Specialty Clinic/Center	R857627	MS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407136708
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THERAPY STAFF SOLUTIONS

Provider Business Mailing Address
First Line	:	1060 E COUNTY LINE RD
Second Line	:	SUITE 3A-201
City	:	RIDGELAND
State	:	MS
Zip	:	39157-4402
Country	:	US
Telephone Number	:	601-714-2820
Fax Number	:	210-587-6529

Provider Business Practice Location Address
First Line	:	1311 W PEARL ST
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39203-2841
Country	:	US
Telephone Number	:	601-960-5329
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF STAFFING SERVICES
Name	:	MRS. ERIN SHIRLEY
Credential	:
Telephone Number	:	601-714-2820

Provider Enumeration Date	:	08/18/2011
Last Update Date	:	02/20/2012

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Directions to “THERAPY STAFF SOLUTIONS ” Practice Location

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