Organization Name: | JORDAN PHYSICAL THERAPY CENTER |
NPI Number: | 1427381813 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | REBECCA T. HUMPHRIES (PCC/CREDENTIALING SPECIALIST NC/AR) |
Mailing Address: | 2278 Albert Pike Road Suite B Hot Springs |
State: | AR US |
Postal Code: | 719134157 |
Phone Number: | 5017670808 |
Fax Number: | 5017670832 |
NPI Enumeration Date: | 09/16/2009 |
NPI Last Update Date: | 05/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
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. |