Doctor Name: | MR. RONNIE HARLOW |
NPI Number: | 1053798116 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ATC, LAT |
License Number: | AT171 |
Business Practice Address: | 1005 East Park Jim Citty Football And Athletic Training Facility Searcy, AR - 72143 |
Business Phone Number: | 5012794165 |
Business Fax Number: | 5012795906 |
Mailing Address: | 900 E Center Ave, Hu Box 12281 SEARCY |
State: | AR |
Postal Code: | 721490002 |
Phone Number: | 5012794165 |
Fax Number: | 5012795906 |
NPI Enumeration Date: | 04/28/2015 |
NPI Last Update Date: | 04/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225400000X |
License Number: | AT171 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Rehabilitation Practitioner |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |