Individual
LAKYN DANIELLE WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
504 E 4TH ST N, PRESCOTT, AR 71857-2254
(870) 887-6674
Mailing address
7506 HIGHWAY 26 W, OKOLONA, AR 71962-9779
(870) 925-0243
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4797
AR
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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