Provider Demographics
NPI:1043675150
Name:PHYSICAL THERAPY CLINIC OF PARIS, LP
Entity type:Organization
Organization Name:PHYSICAL THERAPY CLINIC OF PARIS, LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:KEELEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-427-1545
Mailing Address - Street 1:2206 W MAIN ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75426-3366
Mailing Address - Country:US
Mailing Address - Phone:903-427-1545
Mailing Address - Fax:
Practice Address - Street 1:2206 W MAIN ST
Practice Address - Street 2:SUITE B
Practice Address - City:CLARKSVILLE
Practice Address - State:TX
Practice Address - Zip Code:75426-3366
Practice Address - Country:US
Practice Address - Phone:903-427-1545
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-17
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy