Individual
DR. MICHELLE A CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
6303 S 26TH ST, ROGERS, AR 72758-4524
(501) 454-1040
(479) 222-0048
Mailing address
6303 S 26TH ST, ROGERS, AR 72758-4524
(501) 454-1040
(479) 222-0048
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT2695
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12351026
CAQH PROVIDER ID
AR
05
—
150403721
—
AR
01
—
5V700
BLUE CROSS AND BLUE SHIELD
AR
Enumeration date
05/03/2007
Last updated
11/16/2016
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