Individual
ALEXA GRACE WHITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
807 W DREW AVE, MONETTE, AR 72447-9018
(870) 486-1201
Mailing address
PO BOX 493, MONETTE, AR 72447-0493
(870) 819-7893
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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