Individual
COLTON WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
13238 WALLIN MOUNTAIN RD, WEST FORK, AR 72774-9215
(479) 502-5727
Mailing address
13238 WALLIN MOUNTAIN RD, WEST FORK, AR 72774-9215
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5389
AR
225100000X
Physical Therapist
Primary
CP024931T
SC
225100000X
Physical Therapist
CP052180T
VA
Other
Enumeration date
09/12/2023
Last updated
02/09/2026
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