# CLARKSDALE PHYSICAL THERAPY INC

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

## Provider details

- **NPI number:** 1952338667
- **Authorized official:** MR. THOMAS L WINDHAM (SECRETARY/ TREASURER)
- **Authorized official phone:** (662) 473-3400

## Contact information

- **Practice address:** 100 EAST LEE, CLARKSDALE, MS 38614
- **Practice address phone:** (662) 627-6734
- **Practice address fax:** (662) 627-6737
- **Mailing address:** 50 S MAIN ST, WATER VALLEY, MS 38965-2946
- **Mailing address phone:** (662) 473-3400
- **Mailing address fax:** (662) 473-4389

## Taxonomy

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

## Other

- **Enumeration date:** 06/27/2006
- **Last updated:** 12/02/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 09015818 | — | MS |