Individual
DANIEL COTHERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1998 W GRAND BLVD, FAYETTEVILLE, AR 72704-5077
(866) 251-1227
(866) 251-1267
Mailing address
PO BOX 13525, MAUMELLE, AR 72113-0525
(866) 251-1227
(866) 251-1267
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT 2286
AR
261QP2000X
Physical Therapy Clinic/Center
2286
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163436721
—
AR
Enumeration date
09/26/2006
Last updated
03/13/2026
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