Organization
6574BRAVO LLC
Active
Parent organization
6574BRAVO LLC
Other names
PHYSIOHAUS
Organization subpart
Yes
Provider details
NPI number
Legal business name
6574BRAVO LLC
Authorized official
JONI CHY PT, DPT (CEO)
(870) 416-3555
Entity
Organization
Contact information
Practice address
1416 HIGHWAY 62 65 N STE C, HARRISON, AR 72601-1959
(870) 416-5555
(870) 416-3990
Mailing address
207 OLD FARM RD S, HARRISON, AR 72601-8629
(870) 577-3135
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/13/2025
Last updated
03/21/2025
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