NPI 1003636630
Blue Rose Physical Therapy - West Little Rock LLC
Practice location
- Address
- 1 Huntington Rd, Little Rock, AR 72227-2306
- Phone
- (501) 904-2778
- Fax
- (866) 724-7887
- Mailing address
- PO Box 15538, Little Rock, AR 72231-5538
Authorised official
- Name
- Logan Dockery
- Title
- Owner/Ceo
- Phone
- (501) 802-2844
Registered specialties (2)
Physical Therapy Clinic/Center
Primary
Physical Therapist
Registry record
- NPI
- 1003636630
- Entity type
- Organization
- NPI issued
- 17 Oct 2024
- Record last updated
- 7 Nov 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.