Organization
CENTRAL ARKANSAS SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN RENHSAW MSPT, ATC (OWNER)
(501) 758-1300
Entity
Organization
Contact information
Practice address
2400 CRESTWOOD, SUITE 107, NORTH LITTLE ROCK, AR 72116-7665
(501) 758-1300
(501) 758-1316
Mailing address
2400 CRESTWOOD, SUITE 107, NORTH LITTLE ROCK, AR 72116-7665
(501) 758-1300
(501) 758-1316
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2221
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5C856
BLUE CROSS/ BLUE SHIELD
AR
Enumeration date
07/04/2006
Last updated
06/04/2008
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