Individual
MR. MATTHEW WADE THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
5220 NORTHSHORE DR, NORTH LITTLE ROCK, AR 72118-5297
(501) 663-4320
(501) 978-1452
Mailing address
5220 NORRTHSHORE DR, NORTH LITTLE ROCK, AR 72118-5297
(501) 663-4320
(501) 978-1452
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2194
AR
2251S0007X
Sports Physical Therapist
PT2194
AR
2251X0800X
Orthopedic Physical Therapist
PT2194
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152427721
—
AR
Enumeration date
04/20/2006
Last updated
04/01/2025
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