Joyce Atchley, PTA

Individual provider Active NPI Physical Therapy Assistant · Mena, AR

NPI 1013103647 · NPPES record last updated Sep 18, 2007

Key facts

NPI
1013103647
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
PTA 2205 (AR)
Practice address
100 9TH St
Mena, AR 71953-3026
Phone
(479) 394-2617
NPI assigned
Sep 18, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PTA 2205ARMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA 2205 AR Yes

Addresses

Primary practice location

100 9TH St
Mena, AR 71953-3026

Mailing address

317 Polk 46
Mena, AR 71953-9545
Phone (479) 394-7074

Other providers in Mena, AR

All providers in Mena, AR · Physical Therapy Assistant in Arkansas

Sources for this page

Verify at the official NPI Registry.