Individual
KATHERINE SUZANNE SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2510 W HUDSON RD, ROGERS, AR 72756-2072
(479) 936-1061
(855) 812-1132
Mailing address
556 KENSINGTON, CAVE SPRINGS, AR 72718-5013
(479) 430-0350
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4700
AR
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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