OrganizationActive
Agilitas USA, Inc
NPI 1386964765 · Physical Therapy Clinic/Center · Southaven, MS
Provider details
- NPI number
- 1386964765
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Agilitas USA Inc
- Authorized official
- Andrew Lange, Cfo
Practice location
3451 Goodman Rd E
Ste 110
Southaven, MS 38672-9303
Phone: (662) 892-5020
Mailing address
800 Crescent Centre Dr
Franklin, TN 37067-7269
Registry dates
- Enumerated
- 2010-06-08
- Last updated
- 2019-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.