Organization
THERAPLAY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRON TRACY SOUTH MS, PT (PHYSICAL THERAPIST / OWNER)
(479) 856-6571
Entity
Organization
Contact information
Practice address
505 E DOUBLE EAGLE PL, FAYETTEVILLE, AR 72701-7143
(479) 856-6571
(479) 856-6571
Mailing address
505 E DOUBLE EAGLE PL, FAYETTEVILLE, AR 72701-7143
(479) 856-6571
(479) 856-6571
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139854742
—
AR
05
—
158131716
—
AR
Enumeration date
01/27/2006
Last updated
09/14/2009
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