Individual
CASEY CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
200 W BROADWAY ST, WEST MEMPHIS, AR 72301-3904
(870) 394-7000
(870) 394-7001
Mailing address
200 W BROADWAY ST, WEST MEMPHIS, AR 72301-3904
(870) 394-7000
(870) 394-7001
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2743
AR
Other
Enumeration date
09/03/2013
Last updated
09/03/2013
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