OrganizationActive
Axis Physical Therapy LLC
NPI 1073466959 · Physical Therapist · Vicksburg, MS
Provider details
- NPI number
- 1073466959
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Kurt Cooksey, Owner(601) 415-2258
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1901a Misson 66
Vicksburg, MS 39180-3711
Phone: (601) 638-5518
Fax: (601) 638-7122
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 820039
Vicksburg, MS 39182-0039
Registry dates
- Enumerated
- 2026-02-19
- Last updated
- 2026-02-19
- Certified
- 2026-02-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.