Individual
DR. COREY RYAN SHUMATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2200 FORT ROOTS DR., NORTH LITTLE ROCK, AR 72114
(501) 257-3131
Mailing address
915 FARRIS RD, CONWAY, AR 72034-4910
(501) 472-3879
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4355
AR
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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