Brent A Davis, DPT
Physical Therapist in Trumann, AR. Individual provider (NPI-1).
NPI number1982254710
StatusActive
Last updated in NPPESSep 13, 2019
Details
- NPI
- 1982254710
- Entity type
- Individual (NPI-1)
- Name
- Brent A Davis
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 13, 2019
- Last updated
- Sep 13, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT4650 | AR | Yes |
Practice location
516 Industrial Park Access RdTrumann, AR 72472
Phone 870-483-6131 · Fax 870-483-2573
Mailing address
Po Box 1960Jonesboro, AR 72403-1960
Phone 870-483-6131 · Fax 870-483-2573
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