OrganizationActive
Southern Indiana Myofascial Release, LLC
NPI 1801295043 · Rehabilitation Clinic/Center · Paoli, IN
Provider details
- NPI number
- 1801295043
- Entity type
- Organization
- Primary specialty
- Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Brenda Pardy, Owner(812) 788-1118
- License
- 31005499A (IN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
101 Nw 1st St Ste D
Paoli, IN 47454-1369
Phone: (812) 788-1118
Approximate (ZIP-level) locationGet directions
Mailing address
101 Nw 1st St Ste D
Paoli, IN 47454-1369
Registry dates
- Enumerated
- 2014-08-13
- Last updated
- 2019-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.