Individual
CRISTY PHILLIPS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
423 EASTWOOD CIR, WALNUT RIDGE, AR 72476-2027
(870) 886-8715
(870) 886-2653
Mailing address
423 EASTWOOD CIR, WALNUT RIDGE, AR 72476-2027
(870) 886-8715
(870) 886-2653
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT2316
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5F006
BCBS GROUP #
AR
01
—
5W118
BCBS THERAPIST #
AR
Enumeration date
01/14/2006
Last updated
07/09/2007
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