Individual
TYLER R WHITEAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1008 HWY 25 B, HEBER SPRINGS, AR 72543
(501) 365-3927
(501) 365-3914
Mailing address
PO BOX 952, HEBER SPRINGS, AR 72543
(501) 365-3927
(501) 365-3914
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR2164
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166345721
—
AR
Enumeration date
09/03/2008
Last updated
09/05/2018
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