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General NPI Number Information
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NPI Number | 1962318170
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Entity Type | Organization
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Legal Business Name | THE PIT PHYSICAL THERAPY AND PERFORMANCE PLLC
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Dates
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Enumeration Date | 08/19/2026
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Last Update Date | 08/21/2026
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Provider Practice Location Address
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Address Line | 316 S MAIN ST
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City | JONESBORO
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State | AR
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Zip | 72401-2909
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Country | US
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Telephone | 870-283-1617
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Fax |
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Provider Business Mailing Address
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Address Line | 4305 E BEKAH DR UNIT 5
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City | JONESBORO
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State | AR
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Zip | 72404-7958
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Country | US
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Telephone | 870-283-1617
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/OWNER
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Name | CHANCE WALLS
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Credential | DPT
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Telephone | 870-283-1617
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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