Doctor Name: | MRS. MICHELLE NIXON GLOVER |
NPI Number: | 1134551864 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 3711 |
Business Practice Address: | 10014 N Rodney Parham Rd Suite 103 Little Rock, AR - 722275598 |
Business Phone Number: | 5012245454 |
Business Fax Number: | 5012245460 |
Mailing Address: | 6926 Highway 92 E, BEE BRANCH |
State: | AR |
Postal Code: | 720139082 |
Phone Number: | 5016544364 |
Fax Number: | 5012245460 |
NPI Enumeration Date: | 08/05/2013 |
NPI Last Update Date: | 08/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3711 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |