OrganizationActive
Aegis Group Practice LLC
NPI 1972397891 · Physical Therapist · Meridian, ID
Provider details
- NPI number
- 1972397891
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Authorized official
- Tracy Mccall, Credentialing
Mailing address
4933 Old Greenwood Rd
Fort Smith, AR 72903-6906
Registry dates
- Enumerated
- 2025-04-07
- Last updated
- 2025-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.