SOUTHERN INDIANA MYOFASCIAL RELEASE, LLC
NPI 1801295043
Clinic/Center - Rehabilitation in Paoli, IN

Q: What is Southern Indiana Myofascial Release, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

Active since August 13, 2014

101 NW 1ST ST STE D, PAOLI, IN 47454(812) 788-1118 Get Directions Write a Review

NPPES record last updated: November 2, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 2, 2019, Nov 28, 2018 (2 updates tracked since 2018).

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About Southern Indiana Myofascial Release, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN INDIANA MYOFASCIAL RELEASE, LLC (NPI 1801295043) is a healthcare organization registered as a rehabilitation in Paoli, Indiana and active in the NPI registry since August 2014. The organization lists Brenda Jean Pardy, Owner, as its authorized official.

NPPES Registry Identity

NPI1801295043

Entity TypeOrganization

Primary Taxonomy261QR0400X

Legal Business NameSOUTHERN INDIANA MYOFASCIAL RELEASE, LLC

Location Address101 NW 1ST ST STE DPaoli, IN 47454-1369

Mailing Address101 Nw 1st St Ste DPaoli, IN 47454-1369 · (812) 788-1118 · Fax (888) 371-6163

Phone(812) 788-1118

Organization SubpartNo

Authorized OfficialBrenda Jean PardyOwner · (812) 788-1118

Enumeration DateAugust 13, 2014

Last NPPES UpdateNovember 2, 20192 updates tracked since enumeration

✔ NPI 1801295043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities

Taxonomy Code261QR0400X

License✔ Licensed in IN · 31005499A

101 NW 1ST ST STE D, Paoli, IN 47454

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Indiana Myofascial Release, LLC's NPI number?

The NPI number for Southern Indiana Myofascial Release, LLC is 1801295043. It was assigned to this organization in the NPPES registry on August 13, 2014.

Where is Southern Indiana Myofascial Release, LLC located?

Southern Indiana Myofascial Release, LLC is located at 101 NW 1st St Ste D, Paoli, IN 47454. The listed phone number is (812) 788-1118.

What is Southern Indiana Myofascial Release, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

When was this NPI record last updated?

The NPPES record for Southern Indiana Myofascial Release, LLC was last updated on November 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.