| Organization Name: | LIBBEY MEMORIAL PHYSICAL MEDICINE CENTER, INC. |
| NPI Number: | 1356654362 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEWEY W. CROW (PHYSICAL THERAPIST) |
| Mailing Address: | 389 Lake Hamilton Dr A7 Hot Springs |
| State: | AR US |
| Postal Code: | 719136899 |
| Phone Number: | 5016209812 |
| Fax Number: | 5015454891 |
| NPI Enumeration Date: | 07/19/2010 |
| NPI Last Update Date: | 01/08/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 409 |
| 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 |