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Organization

PHYSICAL THERAPY CENTER OF SOUTH ARKANSAS INC

Active
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Organization

PHYSICAL THERAPY CENTER OF SOUTH ARKANSAS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JARED CLINTON RHODES MS PT (OWNER PRESIDENT)
(870) 863-5100
Entity
Organization

Contact information

Practice address
215 N NEWTON AVE, EL DORADO, AR 71730-5421
(870) 863-5100
(870) 863-5102
Mailing address
215 N NEWTON AVE, EL DORADO, AR 71730-5421
(870) 863-5100
(870) 863-5102

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT2026
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5F055
BLUE CROSS BLUE SHIELD
AR
01
DC1211
MEDICARE RAILROAD
AR
Enumeration date
11/29/2006
Last updated
08/22/2020
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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