# PERFORMANCE THERAPY LLC

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

## Provider details

- **NPI number:** 1851427132
- **Authorized official:** DANIEL RAY YOUNG II PT (OWNER)
- **Authorized official phone:** (601) 650-0002

## Contact information

- **Practice address:** PERFORMANCE THERAPY, LLC, 921 W BEACON STREET, PHILADELPHIA, MS 39350
- **Practice address phone:** (601) 650-0002
- **Practice address fax:** (601) 650-9902
- **Mailing address:** PERFORMANCE THERAPY, LLC, 921 W BEACON STREET, PHILADELPHIA, MS 39350
- **Mailing address phone:** (601) 650-0002
- **Mailing address fax:** (601) 650-9902

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PT2372 | MS | Yes |

## Other

- **Enumeration date:** 02/23/2007
- **Last updated:** 07/21/2022