Individual
PAYTON COLE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
819 OREGON ST, HIAWATHA, KS 66434-2205
(785) 742-2201
Mailing address
247 TOWN PARK DR, MOUNTAIN HOME, AR 72653-6567
(870) 405-8190
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5344
AR
Other
Enumeration date
08/18/2023
Last updated
08/18/2023
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