# AXIS PHYSICAL THERAPY LLC

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

## Provider details

- **NPI number:** 1073466959
- **Authorized official:** KURT COOKSEY (OWNER)
- **Authorized official phone:** (601) 415-2258

## Contact information

- **Practice address:** 1901A MISSON 66, VICKSBURG, MS 39180-3711
- **Practice address phone:** (601) 638-5518
- **Practice address fax:** (601) 638-7122
- **Mailing address:** PO BOX 820039, VICKSBURG, MS 39182-0039

## Taxonomy

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

## Other

- **Enumeration date:** 02/19/2026
- **Last updated:** 02/19/2026