Individual
CLINT ALLEN BACCHUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, OCS
Contact information
Practice address
1310 E MAIN ST, CLARKSVILLE, AR 72830-9554
(479) 647-5000
(479) 647-5001
Mailing address
1310 E MAIN ST, CLARKSVILLE, AR 72830-9554
(479) 647-5000
(479) 647-5001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4282
AR
2251X0800X
Orthopedic Physical Therapist
Primary
PT4282
AR
Other
Enumeration date
06/08/2017
Last updated
05/11/2026
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