Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN WISDOM, P.T.
ActivePhysical Therapy Assistant · FAYETTEVILLE, AR
Registration Details
- NPI Number
- 1063485670
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 13, 2006 (20.184706061713 yrs)
- Last Updated
- Dec 14, 2010
- License
-
PT2490 (AR)
Practice Information
- Address
-
3317 N WIMBERLY DRFAYETTEVILLE, AR, 727034056Browse AR providers · Browse ZIP 72703
- Phone
- 4795212752
- Fax
- 4794446942
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in FAYETTEVILLE, AR
| Name | Credential | NPI |
|---|---|---|
| KATHRYN LEANN KARNES | PT | 1194704460 |
| MR. THOMAS TRIGG ROSS | PT | 1548249659 |
| MR. GARY STEVEN FLORY | PT | 1366422487 |
| BARRON TRACY SOUTH | MS, PT | 1609847847 |
| MR. THOMAS KIRK ROGERSON | P.T. | 1497728000 |
| MS. KATHRYN LOUISE SPROUSE | PT | 1720057748 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.