Individual
MAKENSEY TRAMELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
89 VARIAM RD, WESTERN GROVE, AR 72685-5008
(870) 688-5450
Mailing address
89 VARIAM RD, WESTERN GROVE, AR 72685-5008
(870) 688-5450
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4336
AR
Other
Enumeration date
07/29/2018
Last updated
12/26/2019
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