Christy Richey, PTA
Individual provider Active NPI Physical Therapy Assistant · Powhatan, AR
NPI 1962617092 · NPPES record last updated Aug 29, 2016
Key facts
- NPI
- 1962617092
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA2113 (AR)
- Practice address
- 3442 Highway 25
Powhatan, AR 72458-9007 - Phone
- (870) 878-1123
- NPI assigned
- May 11, 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
| License | State | Type | Specialty |
|---|---|---|---|
| PTA2113 | AR | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA2113 | AR | Yes |
Addresses
Primary practice location
3442 Highway 25
Powhatan, AR 72458-9007
Mailing address
3442 Highway 25
Powhatan, AR 72458-9007
Phone (870) 878-1123
Other names
- Christy Vance
Other providers in Powhatan, AR
All providers in Powhatan, AR · Physical Therapy Assistant in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.