Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Chase Gaston Haynie, PTA

Individual provider Physical Therapist · NPI 1972190346

Chase Gaston Haynie, PTA is a Physical Therapist in Clarksdale, Mississippi. Licensed in Mississippi. Registered with an NPI since 2020.

Licensed in
MS
In the registry since
2020
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1120 Ritchie Ave
Clarksdale, MS 38614-7535
Phone: (662) 621-1447
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PTA-6504 (MS)

Record details

NPI number1972190346
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedDecember 30, 2020
Last updated in NPPESDecember 30, 2020
Certification dateDecember 30, 2020

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