Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELINE ANDERSON, P.T.
Active Sole ProprietorPhysical Therapy Assistant · WEST FORK, AR
Registration Details
- NPI Number
- 1376970897
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 29, 2013 (12.559901650717 yrs)
- Last Updated
- Sep 29, 2013
- License
-
PT 2414 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
13682 MINERAL SPRINGS RDWEST FORK, AR, 727749380Browse AR providers · Browse ZIP 72774
- Phone
- 4799571610
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in WEST FORK, AR
| Name | Credential | NPI |
|---|---|---|
| LISA SCHAEFER | P.T. | 1609824390 |
| MS. LAURA FAWN PURCELL | MPT | 1083750533 |
| COLTON WISE | DPT | 1700663705 |
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.