Doctor Name: | MRS. AMANDA GAYLE CHILTON |
NPI Number: | 1003042292 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 5501011148 |
Business Practice Address: | 4516 Rogers Ave Suite B-5 Fort Smith, AR - 729033147 |
Business Phone Number: | 4797821444 |
Business Fax Number: | 4797821477 |
Mailing Address: | 4516 Rogers Ave, Suite B-5 FORT SMITH |
State: | AR |
Postal Code: | 729033147 |
Phone Number: | 4797821444 |
Fax Number: | 4797821477 |
NPI Enumeration Date: | 06/02/2009 |
NPI Last Update Date: | 04/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 5501011148 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |