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Contact Information

CLINT A BACCHUS, PT, DPT, OCS
1310 E MAIN ST
CLARKSVILLE, AR72830-9554
 Phone: 479-647-5000
 Fax: 479-647-5001
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for CLINT A BACCHUS · (Male)

NPI # 1053840447
Status Active
Credentials PT, DPT, OCS
Entity Individual
Enumeration date 06/08/2017
Last updated 05/11/2026 - About a month ago
Sole proprietor 1 No
Identifiers
  • AR License # PT4282
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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