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Aegis Group Practice LLC

Physical Therapist in Memphis, TN. Organization (NPI-2).

NPI number1699550178
StatusActive
Last updated in NPPESAug 31, 2023

Details

NPI
1699550178
Entity type
Organization (NPI-2)
Legal business name
Aegis Group Practice LLC
Organization subpart
No
Enumeration date
Aug 31, 2023
Certification date
Aug 31, 2023
Last updated
Aug 31, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist––Yes
225X00000X Occupational Therapist––
235Z00000X Speech-Language Pathologist,––

Practice location

3168 Hacks Cross Rd
Memphis, TN 38125-8802

Phone 800-444-6845

Mailing address

4933 Old Greenwood Rd
Fort Smith, AR 72903-6906

Authorized official

Tracy Mccall
Contract Specialist
4792016091

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