# SMALL TOWN PHYSICAL THERAPY, LLC

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

## Provider details

- **NPI number:** 1205646650
- **Authorized official:** CATHY COOPER (OWNER)
- **Authorized official phone:** (601) 917-0284

## Contact information

- **Practice address:** 2039 HIGHWAY 35 S, FOREST, MS 39074-7973
- **Practice address phone:** (601) 917-0284
- **Mailing address:** 2039 HIGHWAY 35 S, FOREST, MS 39074-7973
- **Mailing address phone:** (601) 917-0284

## Taxonomy

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

## Other

- **Enumeration date:** 01/08/2025
- **Last updated:** 01/08/2025