# ROCK ISLAND PHYSICAL THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073124087
- **Authorized official:** TROY KETCHUM PT (MANAGING MEMBER)
- **Authorized official phone:** (318) 254-3354

## Contact information

- **Practice address:** 927 N TRENTON ST, RUSTON, LA 71270-3327
- **Practice address phone:** (318) 513-3008
- **Practice address fax:** (318) 513-3009
- **Mailing address:** 2912 PAYNTER DR, RUSTON, LA 71270-5242
- **Mailing address phone:** (318) 254-3354

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 08/13/2020
- **Last updated:** 08/17/2020