# TIARKS THERAPY SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851807424
- **Authorized official:** TRISTAN N TIARKS DPT (PHYSICAL THERAPIST, OWNER)
- **Authorized official phone:** (479) 619-5514

## Contact information

- **Practice address:** 2104 S WALTON BLVD, BENTONVILLE, AR 72712-6732
- **Practice address phone:** (479) 619-5514
- **Mailing address:** 1551 N LEXINGTON DR, CENTERTON, AR 72719-9539
- **Mailing address phone:** (479) 619-5514

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | PT3288 | AR | Yes |

## Other

- **Enumeration date:** 12/19/2017
- **Last updated:** 12/19/2017