Organization
NORTHEAST ARKANSAS ORTHOPAEDIC AND SPORTS PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH E. THOMPSON (ONWER)
(870) 268-1400
Entity
Organization
Contact information
Practice address
2919 E MATTHEWS AVE, SUITE C, JONESBORO, AR 72401-4499
(870) 268-1400
(870) 268-1405
Mailing address
2919 E MATTHEWS AVE, SUITE C, JONESBORO, AR 72401-4499
(870) 268-1400
(870) 268-1405
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1330
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5C671
BCBS PROVIDER NUMBER
AR
Enumeration date
12/06/2006
Last updated
07/29/2010
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