Organization
FENTER PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY E FENTER PT (CO-OWNER PHYSICAL THERAPIST)
(870) 761-6463
Entity
Organization
Contact information
Practice address
2860 I-55 SERVICE ROAD, SUITE C, MARION, AR 72364
(870) 629-9413
Mailing address
PO BOX 1429, MARION, AR 72364-1429
(870) 761-1790
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT2812
AR
225100000X
Physical Therapist
Primary
PT2837
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165344742
—
AR
05
—
195897742
—
AR
05
—
199795742
—
AR
05
—
200309742
—
AR
05
—
220919742
—
AR
05
—
288614742
—
AR
05
—
343139742
—
AR
Enumeration date
06/01/2007
Last updated
07/29/2025
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