# ETHOS REHAB LLC

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

## Provider details

- **NPI number:** 1528351798
- **Authorized official:** CLAY J ECKERSON PT (OWNER)
- **Authorized official phone:** (601) 946-8558

## Contact information

- **Practice address:** 100 SELBY DR, MADISON, MS 39110-9437
- **Practice address phone:** (601) 946-8558
- **Practice address fax:** (601) 707-7408
- **Mailing address:** 100 SELBY DR, MADISON, MS 39110-9437
- **Mailing address phone:** (601) 946-8558
- **Mailing address fax:** (601) 707-7408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PT2014 | MS | Yes |

## Other

- **Enumeration date:** 05/22/2011
- **Last updated:** 05/22/2011