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Organization
REVOLUTION PHYSICAL THERAPY LLC
Active
Organization
REVOLUTION PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY GRAHAM DPT (OWNER)
(662) 349-9288
Entity
Organization
Contact information
Practice address
5847 GETWELL RD STE A5, SOUTHAVEN, MS 38672-6816
(662) 349-9288
(662) 349-9289
Mailing address
5847 GETWELL RD STE A5, SOUTHAVEN, MS 38672-6816
(662) 349-9288
(662) 349-9289
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/01/2018
Last updated
04/29/2026
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