# ELLARD PHYSICAL THERAPY

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

## Provider details

- **NPI number:** 1699390385
- **Authorized official:** ANDREW MICHAEL ELLARD DPT (OWNER, PT)
- **Authorized official phone:** (601) 600-2515

## Contact information

- **Practice address:** 290 SGT PRENTISS DR STE A, NATCHEZ, MS 39120-4142
- **Practice address phone:** (601) 600-2515
- **Practice address fax:** (601) 600-2515
- **Mailing address:** 290 SGT PRENTISS DR STE A, NATCHEZ, MS 39120-4142
- **Mailing address phone:** (601) 600-2515
- **Mailing address fax:** (601) 600-2515

## Taxonomy

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

## Other

- **Enumeration date:** 06/09/2020
- **Last updated:** 06/09/2020