Individual
ASHLEY JO WINSEMIUS-HACKNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2323 W CHESTNUT ST STE 6, ROGERS, AR 72756-3520
(479) 346-5459
Mailing address
2323 W CHESTNUT ST STE 6, ROGERS, AR 72756-3520
(479) 346-5459
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
AR
225200000X
Physical Therapy Assistant
Primary
PT4655
AR
Other
Enumeration date
05/05/2017
Last updated
11/27/2023
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