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Individual

MS. KRISTA MICHELLE PHIPPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
2113 WATTS RD, BENTON, AR 72015-2856
(501) 778-4960
Mailing address
1222 HARTON ST, CONWAY, AR 72032-2712
(479) 531-0750

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3291
AR

Other

Enumeration date
10/04/2010
Last updated
10/04/2010
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