Individual
WYATT WADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3304 S M ST, FORT SMITH, AR 72903-2903
(479) 785-4677
Mailing address
8720 HORSESHOE LOOP, HACKETT, AR 72937-5537
(918) 208-4976
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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