Individual
MRS. GRACIE ANNE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
9 CUNNINGHAM CORNER, BELLA VISTA, AR 72714-3520
(479) 855-6814
(479) 855-6828
Mailing address
1350 S GUTENSOHN, STE. 10, SPRINGDALE, AR 72762-5117
(479) 751-7122
(479) 751-7292
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5222
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300816721
—
AR
01
—
PT5222
AR PHYSICAL THERAPY BOARD
AR
Enumeration date
08/26/2022
Last updated
12/16/2024
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