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

Southern Indiana Myofascial Release, LLC

Organization Rehabilitation Clinic/Center · NPI 1801295043

Southern Indiana Myofascial Release, LLC is a Rehabilitation Clinic/Center in Paoli, Indiana. Licensed in Indiana. Registered with an NPI since 2014.

Licensed in
IN
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

101 NW 1st St Ste D
Paoli, IN 47454-1369
Phone: (812) 788-1118
Show map & directions

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

Specialties & licences

Rehabilitation Clinic/Center (primary) Taxonomy 261QR0400X · Licence 31005499A (IN)

Record details

NPI number1801295043
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brenda Pardy — Owner · (812) 788-1118
NPI enumeratedAugust 13, 2014
Last updated in NPPESNovember 2, 2019
Mailing address101 Nw 1st St Ste D, Paoli, IN 47454-1369