# EXOS PHYSICAL THERAPY AND SPORTS MEDICINE, LLC

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

## Provider details

- **NPI number:** 1194237206
- **Authorized official:** GREG PERRY (PRESIDENT)
- **Authorized official phone:** (205) 259-3991

## Contact information

- **Practice address:** 6542 GOODMAN RD, OLIVE BRANCH, MS 38654
- **Practice address phone:** (205) 259-3991
- **Mailing address:** 50 BAY ST, CLANTON, AL 35045-3000

## Taxonomy

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

## Other

- **Enumeration date:** 10/30/2017
- **Last updated:** 12/13/2018