Organization
TRANSFORM PHYSICAL THERAPY
Active
Organization
TRANSFORM PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS ALEXANDER PT (OWNER)
(479) 305-3855
Entity
Organization
Contact information
Practice address
508 S 52ND ST, ROGERS, AR 72758-8600
(479) 305-3855
Mailing address
4889 W HOOVER LOOP, FAYETTEVILLE, AR 72704-7172
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/13/2023
Last updated
08/21/2023
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