# RISE PHYSICAL THERAPY, LLC

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

## Provider details

- **NPI number:** 1629884598
- **Authorized official:** KYLE WHITE (OWNER)
- **Authorized official phone:** (662) 419-1979

## Contact information

- **Practice address:** 271 W REYNOLDS ST, PONTOTOC, MS 38863
- **Practice address phone:** (662) 419-1979
- **Mailing address:** 271 W REYNOLDS ST, PONTOTOC, MS 38863
- **Mailing address phone:** (662) 419-1979

## Taxonomy

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

## Other

- **Enumeration date:** 12/05/2024
- **Last updated:** 12/05/2024