Individual
MICHAEL EDWARD MCFARLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1800 SE MOBERLY LN STE 6, BENTONVILLE, AR 72712-7017
(479) 715-6330
(479) 268-5144
Mailing address
1800 SE MOBERLY LN STE 6, BENTONVILLE, AR 72712-7017
(479) 715-6330
(479) 268-5144
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305207450
VA
225100000X
Physical Therapist
5106
AR
225100000X
Physical Therapist
Primary
PT5106
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154676344
—
VA
01
—
C05954
GROUP MEDICARE PTAN
VA
01
—
P01232661
MEDICARE RR PTAN
VA
Enumeration date
07/13/2012
Last updated
05/02/2022
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