Individual
MICHAELA ANNETTE WOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
10825 KANIS RD STE 300, LITTLE ROCK, AR 72211-3802
(501) 420-3884
(501) 429-7940
Mailing address
10825 KANIS RD STE 300, LITTLE ROCK, AR 72211-3802
(615) 955-0225
(501) 429-7480
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-18-51982
AR
225100000X
Physical Therapist
Primary
5043
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083125439
NPI
AR
Enumeration date
10/12/2017
Last updated
08/19/2021
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