Lonoke Physical Therapy, Inc

Organization Active NPI Physical Therapy Clinic/Center · Lonoke, AR

NPI 1992706477 · NPPES record last updated Aug 24, 2007

Key facts

NPI
1992706477
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapy Clinic/Center 261QP2000X
License
PT1452 (AR)
Legal business name
LONOKE PHYSICAL THERAPY, INC
Practice address
1515 N Center St
#3
Lonoke, AR 72086-2101
Phone
(501) 676-5540
Fax
(501) 676-6499
NPI assigned
Aug 9, 2005
Organization subpart
No

Authorized official

Name
Mr. Matt H Jackson, MSPT
Title
President/PT
Phone
(501) 676-5540

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

1515 N Center St
Ste 5
Lonoke, AR 72086
Phone (501) 676-5540

1515 N Center St
Ste 3
Lonoke, AR 72086
Phone (501) 676-5540

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT1452 AR Yes

Addresses

Primary practice location

1515 N Center St
#3
Lonoke, AR 72086-2101

Mailing address

1515 N Center St
#3
Lonoke, AR 72086-2101
Phone (501) 676-5540

Other providers in Lonoke, AR

All providers in Lonoke, AR · Physical Therapy Clinic/Center in Arkansas

Sources for this page

Verify at the official NPI Registry.