Organization
TRESTLETREE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TED R BORGSTADT (PRESIDENT)
(479) 582-0777
Entity
Organization
Contact information
Practice address
3715 N BUSINESS DR, SUITE 202, FAYETTEVILLE, AR 72703-5204
(479) 582-0777
(479) 582-0778
Mailing address
3715 N BUSINESS DR, SUITE 202, FAYETTEVILLE, AR 72703-5204
(479) 582-0777
(479) 582-0778
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
—
—
163W00000X
Registered Nurse
—
—
174H00000X
Health Educator
—
—
183500000X
Pharmacist
—
—
224Y00000X
Clinical Exercise Physiologist
—
—
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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