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1065 Clayton St, Suite 9, Conway, AR 72032-4329 | |
| (501) 328-5878 | |
| (501) 336-0119 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1065 Clayton St, Conway, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134138670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Ellen Ruth Haverstick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720029655 PECOS PAC ID: 6002707387 Enrollment ID: I20040324000883 |
| Provider Name | Rachael L C Owens |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023320132 PECOS PAC ID: 5193840981 Enrollment ID: I20100916001074 |
| Provider Name | Kerri J Brinkley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033474556 PECOS PAC ID: 1052763612 Enrollment ID: I20240118003763 |
| Mailing Address | Practice Location Address |
|---|---|
1065 Clayton St, Suite 9, Conway, AR 72032-4329 Ph: (501) 328-5878 | 1065 Clayton St, Suite 9, Conway, AR 72032-4329 Ph: (501) 328-5878 |
Miller Edward Williams, PT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 2425 Dave Ward Dr Ste 103, Conway, AR 72034 Phone: 501-327-1730 | |
Mr. Chris Alan Huselton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1500 Museum Rd Ste 104, Conway, AR 72032 Phone: 501-329-3804 Fax: 501-329-0718 | |
Mr. Tyson W Kymes, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 575 Club Ln, Conway, AR 72034 Phone: 501-329-5161 Fax: 501-329-5158 | |
Tabatha Gunnels, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2740 College Avenue, Conway, AR 72034 Phone: 501-329-5459 Fax: 501-325-1378 | |
Laura Ward, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2740 College Ave, Conway, AR 72034 Phone: 501-329-5459 Fax: 501-327-1738 | |
Rachael Lee Cummins Owens, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1065 Clayton St Ste 9, Conway, AR 72032 Phone: 501-328-5878 | |
Mrs. Kerri J Brinkley, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1065 Clayton St Ste 9, Conway, AR 72032 Phone: 501-328-5878 |