Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shiloh Ridge Athletic Club

Organization Physical Therapy Clinic/Center · NPI 1205061173

Shiloh Ridge Athletic Club is a Physical Therapy Clinic/Center in Corinth, Mississippi. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

3303 Shiloh Ridge Rd
Corinth, MS 38834-9698
Phone: (662) 287-5662
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X

Record details

NPI number1205061173
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationTri-Vista Rehab Inc
Authorized official Kevin Boutin — Owner · (662) 287-5662
NPI enumeratedMay 21, 2009
Last updated in NPPESMay 21, 2009
Mailing addressPo Box 3592, Tupelo, MS 38803-3592

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