Acoustic Wave Treatment Center of Ms LLC

Organization Active NPI Clinic/Center · Ridgeland, MS

NPI 1245904150 · NPPES record last updated Sep 23, 2022

Key facts

NPI
1245904150
Entity type
Organization (NPI type 2)
Primary specialty
Clinic/Center 261Q00000X
Legal business name
ACOUSTIC WAVE TREATMENT CENTER OF MS LLC
Practice address
230 Trace Colony Park Dr Ste 1
Ridgeland, MS 39157-8851
Phone
(601) 944-5585
NPI assigned
Aug 4, 2021
Organization subpart
No

Authorized official

Name
Stacey L Holt
Title
Ceo
Phone
(601) 944-5585

National Provider Directory

Locations

230 Trace Colony Park Dr
Ste 1
Ridgeland, MS 39157
Phone (601) 707-3878

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Yes

Addresses

Primary practice location

230 Trace Colony Park Dr Ste 1
Ridgeland, MS 39157-8851

Mailing address

230 Trace Colony Park Dr Ste 1
Ridgeland, MS 39157-8851
Phone (601) 944-5585

Other names

  • Innovative Health Clinic Doing business as

Other providers in Ridgeland, MS

All providers in Ridgeland, MS · Clinic/Center in Mississippi

Sources for this page

Verify at the official NPI Registry.