Organization
EXODUS PHYSICAL THERAPY
Active
Other names
Exodus Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARTELL TREADWELL DPT (CEO)
(870) 219-9700
Entity
Organization
Contact information
Practice address
1728 WESTWOOD CV, JONESBORO, AR 72401-4793
(870) 219-9700
Mailing address
1728 WESTWOOD CV, JONESBORO, AR 72401-4793
(870) 219-9700
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245560606
NPI
—
Enumeration date
12/06/2018
Last updated
12/06/2018
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