Individual
WILLIAM KEITH PAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MMT
Contact information
Practice address
601 E PARKWAY DR, RUSSELLVILLE, AR 72801-4106
(479) 223-3320
Mailing address
601 E PARKWAY DR, RUSSELLVILLE, AR 72801-4106
(479) 223-3320
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8117
AR
Other
Enumeration date
11/01/2017
Last updated
11/01/2017
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