Individual
ASHLEY PETTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1871 FALLS BLVD. NORTH, WYNNE, AR 72396
(870) 208-8989
(870) 208-8107
Mailing address
1871 FALLS BLVD. NORTH, WYNNE, AR 72396
(870) 208-8989
(870) 208-8107
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 3969
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT 3969
DOCTOR OF PHYSICAL THERAPY
AR
Enumeration date
05/26/2015
Last updated
08/16/2018
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