Individual
AMY POWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9210 TRAIL RUN RD, SHERWOOD, AR 72120-9422
(501) 834-4100
Mailing address
9210 TRAIL RUN RD, SHERWOOD, AR 72120-9422
(501) 834-4100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1668
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127190721
—
AR
01
—
5T089
BCBS PROVIDER NO.
AR
Enumeration date
10/24/2006
Last updated
12/03/2009
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