Individual
SHUHEI FUKAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
201 DONAGHEY AVE, CONWAY, AR 72035-5001
(501) 450-5000
Mailing address
139 BARIDON ST, CONWAY, AR 72034-6251
(620) 757-2450
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/28/2023
Last updated
09/10/2023
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