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NPI 1629920046

NPI 1629920046 : MCCLAIN PHYSICAL THERAPY, LLC : FORT SMITH, AR

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General NPI Number Information
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    NPI Number           |    1629920046
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    Entity Type          |    Organization 
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    Legal Business Name  |    MCCLAIN PHYSICAL THERAPY, LLC 
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Dates
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    Enumeration Date     |    02/10/2026
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    Last Update Date     |    02/10/2026
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Provider Practice Location Address
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    Address Line         |    12300 HIGHWAY 71 S STE C 
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    City                 |    FORT SMITH
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    State                |    AR
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    Zip                  |    72916-9474
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    Country              |    US
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    Telephone            |    479-395-1110
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    Fax                  |    479-358-1517
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Provider Business Mailing Address
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    Address Line         |    12300 HIGHWAY 71 S STE C 
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    City                 |    FORT SMITH
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    State                |    AR
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    Zip                  |    72916-9474
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    Country              |    US
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    Telephone            |    479-395-1110
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    Fax                  |    479-358-1517
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     KIM  MCCLAIN 
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    Credential           |    
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    Telephone            |    501-529-0090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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