| Exos Physical Therapy & Sports Medicine, Llc | |
|
6542 Goodman Rd Ste 101, Olive Branch, MS 38654-5559 | |
| (205) 259-3991 | |
| Not Available |
| Full Name | Exos Physical Therapy & Sports Medicine, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 6542 Goodman Rd Ste 101, Olive Branch, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053825943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
| Provider Name | Amy R Graham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467410969 PECOS PAC ID: 8729062971 Enrollment ID: I20060906000526 |
| Provider Name | Ryan Huling |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316227515 PECOS PAC ID: 9830477306 Enrollment ID: I20170220000251 |
| Provider Name | Blake Falconello |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104593599 PECOS PAC ID: 5092112078 Enrollment ID: I20220131000307 |
| Mailing Address | Practice Location Address |
|---|---|
| Exos Physical Therapy & Sports Medicine, Llc 50 Bay St, Clanton, AL 35045-3000 Ph: () - | Exos Physical Therapy & Sports Medicine, Llc 6542 Goodman Rd Ste 101, Olive Branch, MS 38654-5559 Ph: (205) 259-3991 |
Nicholas Bailey, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8110 Camp Creek Rd Ste 106, Olive Branch, MS 38654 Phone: 662-893-1933 Fax: 662-893-1934 | |
Tina Marie Erber, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4780 Medora Dr, Olive Branch, MS 38654 Phone: 662-895-1891 | |
Joshua Mark Day, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8110 Camp Creek Rd Ste 106, Olive Branch, MS 38654 Phone: 662-893-1933 Fax: 662-893-1934 | |
Tarah L Rudd, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4578 Pleasant Breeze Dr, Olive Branch, MS 38654 Phone: 901-268-9759 | |
Holly Johnson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2268 Ross Rd, Olive Branch, MS 38654 Phone: 662-808-2680 Fax: 662-895-0566 | |
Blake Jordan Falconello, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6542 Goodman Rd Ste 101, Olive Branch, MS 38654 Phone: 662-874-5964 Fax: 662-874-5176 |