Doctor Name: | DR. KENDRA D FUQUA |
NPI Number: | 1629454798 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT |
License Number: | PT 4012 |
Business Practice Address: | 75 Highway 62 412 Ste A Ash Flat, AR - 725139629 |
Business Phone Number: | 8709947778 |
Business Fax Number: | |
Mailing Address: | 75 Highway 62 412 Ste A, ASH FLAT |
State: | AR |
Postal Code: | 725139629 |
Phone Number: | 8709947778 |
Fax Number: | |
NPI Enumeration Date: | 07/30/2015 |
NPI Last Update Date: | 07/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 4012 |
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 |