Misty Malinda Banks, LPTA

Individual provider Active NPI Physical Therapy Assistant · Hope, AR

NPI 1023221900 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1023221900
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
PTA 1297 (AR)
Practice address
500 S Main St
Hope, AR 71801-5206
Phone
(870) 777-4945
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
Yes

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 1297ARMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA 1297 AR Yes

Addresses

Primary practice location

500 S Main St
Hope, AR 71801-5206

Mailing address

175 Hempstead 1042
Hope, AR 71801-9061
Phone (870) 777-8665

Other providers in Hope, AR

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

Sources for this page

Verify at the official NPI Registry.