Doctor Name: | TANYA RENEE MERRILL |
NPI Number: | 1710056650 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHYSICALTHERAPY ASST |
License Number: | 1363 |
Business Practice Address: | 4505 N Rudy Rd Van Buren, AR - 729569062 |
Business Phone Number: | 4794744011 |
Business Fax Number: | 4794744044 |
Mailing Address: | 4110 So P St, FORT SMITH |
State: | AR |
Postal Code: | 72903 |
Phone Number: | 4797832540 |
Fax Number: | |
NPI Enumeration Date: | 11/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1363 |
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 |