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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. SCOTT SULLIVAN IRONSIDE, PT

Active

Physical Therapy Assistant · BENTONVILLE, AR

Registration Details

NPI Number
1336110998
Provider Type
Individual
Gender
Male
NPI Issued
Jan 31, 2006 (20.220501745357 yrs)
Last Updated
Mar 6, 2008
License
PT588 (AR)

Practice Information

Address
908 NW 8TH ST
BENTONVILLE, AR, 72712
Browse AR providers · Browse ZIP 72712
Phone
4792731141
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in BENTONVILLE, AR

Name Credential NPI
KELLY MOORE SCHILLER MPT 1205839214
MR. DAVID LOGAN HILL PT 1053382515
MR. STEVEN C KO PT 1689622912
TREVOR DAVIDSON PT, DPT, OCS, MTC 1598714867
RHONDA BETH RUSS PT 1972556280
RACHAEL R ROWRAY MPT 1851339204
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.