Organization
RISE PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE WHITE (OWNER)
(662) 419-1979
Entity
Organization
Contact information
Practice address
271 W REYNOLDS ST, PONTOTOC, MS 38863
(662) 419-1979
Mailing address
271 W REYNOLDS ST, PONTOTOC, MS 38863
(662) 419-1979
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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