Physical Therapist
FITNESS CLINIC WELLNESS
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1912352022 · enumerated 2016-04-26 · record updated 2017-02-09. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Ms. BARBARA BROADWATER, Executive Director · (601) 983-7494
Addresses and phones
- Mailing address 2219 GREENWAY DR, JACKSON, MS, 39204-3202 (601) 983-7494 Google Maps Apple Maps OpenStreetMap
- Practice location 2219 GREENWAY DR, JACKSON, MS, 39204-3202 (601) 983-7494 Google Maps Apple Maps OpenStreetMap
Specialties
- Psychologist, Clinical 103TC0700X
- Nurse Practitioner, Family 363LF0000X · License 871546 MS
- Physical Therapist 225100000X · Primary
In this directory
Locations and evidence
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Practice location
JACKSON, MS, 392043202
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.