Organization
SPA CITY THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE D SOWERBUTTS M.S., P.T. (OWNER)
(501) 525-2273
Entity
Organization
Contact information
Practice address
1635 HIGDON FERRY RD, SUITE G, HOT SPRINGS, AR 71913-6913
(501) 525-2273
(501) 525-1773
Mailing address
1635 HIGDON FERRY RD, SUITE G, HOT SPRINGS, AR 71913-6913
(501) 525-2273
(501) 525-1773
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1620
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148913742
—
AR
01
—
5C629
BLUE CROSS BLUE SHIELD
AR
Enumeration date
09/25/2006
Last updated
01/30/2014
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