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Contact Information

METAMORPHOSIS REHABILITATION, LLC
5170 SUNNYVALE DR
JACKSON, MS39211-4845
 Phone: 601-978-0804
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Physical Therapy

261QP2000X
 

Radiology

261QR0200X 74 Radiation Therapy Center
 

Rehabilitation

261QR0400X B4[14] Rehabilitation Agency
Indicates primary specialty

NPI Profile & details for METAMORPHOSIS REHABILITATION, LLC

NPI Number 1285478214
LBN Legal business name METAMORPHOSIS REHABILITATION, LLC
Authorized official MYNA BURKS - (OWNER/SENIOR CLINICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 06/24/2024
Last updated 06/24/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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