Individual
MR. STEVEN MICHAEL SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1600 SE J ST # 4, BENTONVILLE, AR 72712-6804
(479) 273-9933
(479) 273-9935
Mailing address
1600 SE J ST # 4, BENTONVILLE, AR 72712-6804
(479) 273-9933
(479) 273-9935
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 2296
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164269721
—
AR
01
—
19435
EVOLUTIONS
AR
01
—
208251201
TRICARE
—
01
—
20825120100
QUALCHOICE
AR
01
—
5A315
BCBS
AR
01
—
712695
ACN GROUP
AR
01
—
796247
HEALTHLINK
AR
Enumeration date
01/27/2007
Last updated
01/15/2016
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