| Doctor Name: | TABATHA GUNNELS |
| NPI Number: | 1013068717 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | PT1879 |
| Business Practice Address: | 2740 College Avenue Conway, AR - 720349310 |
| Business Phone Number: | 5013295459 |
| Business Fax Number: | 5013251378 |
| Mailing Address: | 801 Scherman Oaks Cir, CONWAY |
| State: | AR |
| Postal Code: | 720343498 |
| Phone Number: | 5017300267 |
| Fax Number: | |
| NPI Enumeration Date: | 01/16/2007 |
| NPI Last Update Date: | 09/13/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | PT1879 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |