Bulldog Phyisical Therapy and Sports Medicine
Organization Active NPI Sports Medicine (Physical Medicine & Rehabilitation) Physician · Starkville, MS
NPI 1124383377 · NPPES record last updated Jul 12, 2012
Key facts
- NPI
- 1124383377
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X
- Legal business name
- BULLDOG PHYISICAL THERAPY AND SPORTS MEDICINE
- Practice address
- 500 Russell St
32
Starkville, MS 39759-3413 - Phone
- (662) 418-4675
- NPI assigned
- Jul 12, 2012
- Organization subpart
- No
Authorized official
- Name
- Jody Bennett
- Title
- Owner
- Phone
- (662) 418-4675
National Provider Directory
Locations
500 Russell St
Ste 32
Starkville, MS 39759
Phone (662) 418-4675
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician |
2081S0010X | Yes |
Addresses
Primary practice location
500 Russell St
32
Starkville, MS 39759-3413
Mailing address
500 Russell St
32
Starkville, MS 39759-3413
Phone (662) 418-4675
Other providers in Starkville, MS
- James Samuel Brown III
- Valerie Brown
- Mary Locke Bryan
- Joanne Bryant
- Michael A Buehler
- Robert Allen Butler II
- Dallas W Butts
- Katie Buys
- Toni Bynum
- Jessica Byrd
All providers in Starkville, MS · Sports Medicine (Physical Medicine & Rehabilitation) Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.