Organization
ETHOS REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAY J ECKERSON PT (OWNER)
(601) 946-8558
Entity
Organization
Contact information
Practice address
100 SELBY DR, MADISON, MS 39110-9437
(601) 946-8558
(601) 707-7408
Mailing address
100 SELBY DR, MADISON, MS 39110-9437
(601) 946-8558
(601) 707-7408
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2014
MS
Other
Enumeration date
05/22/2011
Last updated
05/22/2011
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