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NPI Code Detail

MEDICARE: BYRAM AND FINLEY PERFORMANCE REHAB LLC

MEDICARE: BYRAM AND FINLEY PERFORMANCE REHAB LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1356996532
Entity Type Code : Organization
Provider Name (Legal Business Name) : BYRAM AND FINLEY PERFORMANCE REHAB LLC
Provider Business Mailing Address
First Line : 901 E BEEBE CAPPS EXPY
Second Line :
City : SEARCY
State : AR
Zip : 72143-6865
Country : US
Telephone Number : 501-203-0641
Fax Number :
Provider Business Practice Location Address
First Line : 901 E BEEBE CAPPS EXPY
Second Line :
City : SEARCY
State : AR
Zip : 72143-6865
Country : US
Telephone Number : 501-203-0641
Fax Number :
Authorized Official
Title or Position : MANAGING MEMBER
Name : JOHNSON HAYDEN BYRAM
Credential : PT, DPT
Telephone Number : 501-203-0641
Provider Enumeration Date : 08/05/2019
Last Update Date : 08/05/2019

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Directions to “BYRAM AND FINLEY PERFORMANCE REHAB LLC ” Practice Location

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