Individual
KOBY KEITH HARTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 W BEEBE CAPPS EXPY, SEARCY, AR 72143-6353
(501) 268-2513
Mailing address
1505 REHOBOTH DR, SEARCY, AR 72143-8069
(214) 603-9489
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5322
AR
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
02/24/2020
Last updated
08/25/2023
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