| Doctor Name: | VELVET V MEDLOCK |
| NPI Number: | 1558324020 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSPT |
| License Number: | 4397 |
| Business Practice Address: | 5905 Remington Cir Fort Smith, AR - 729036523 |
| Business Phone Number: | 4794527773 |
| Business Fax Number: | 4794527774 |
| Mailing Address: | Po Box 11122, FORT SMITH |
| State: | AR |
| Postal Code: | 729171122 |
| Phone Number: | 4794527773 |
| Fax Number: | 4794527774 |
| NPI Enumeration Date: | 04/07/2006 |
| NPI Last Update Date: | 09/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 4397 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OK |
| 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 |