Individual
JENNY RAINEY I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
601 W MAPLE AVE, SPRINGDALE, AR 72764-5335
(479) 757-4700
(479) 757-2949
Mailing address
2422 N THOMPSON ST, SPRINGDALE, AR 72764-1757
(479) 757-8099
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1253
AR
Other
Enumeration date
01/22/2016
Last updated
05/11/2016
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