Ethos Rehab LLC

NPI #1528351798 in Madison, Mississippi

Provider Information

NPI Number: 1528351798
Entity Type: Organization
Organization Name: Ethos Rehab LLC
Primary Specialty: Physical Therapist
Enumeration Date: May 22, 2011
Last Updated: May 22, 2011

Practice Location

Address: 100 SELBY DR
City: Madison
State: Mississippi
ZIP Code: 39110-9437
Phone: (601) 946-8558

Authorized Official

Name: CLAY J ECKERSON, PT
Title: OWNER
Phone: (601) 946-8558

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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