Organization
ARKANSAS PELVIC HEALTH PLLC
Active
Organization
ARKANSAS PELVIC HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BETH ANNE TRAVIS PT, DPT (CO-OWNER)
(615) 955-0225
Entity
Organization
Contact information
Practice address
10825 KANIS RD STE 300, LITTLE ROCK, AR 72211-3872
(501) 420-3884
Mailing address
10825 KANIS RD STE 300, LITTLE ROCK, AR 72211-3872
(501) 420-3884
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710396403
BCBS
AR
Enumeration date
03/23/2020
Last updated
09/17/2020
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