NPI 1063674570
Arkansas Therapy Source, LLC
Practice location
- Address
- 116 Valderrama Dr, Benton, AR 72015-8971
- Phone
- (501) 249-8649
- Fax
- (501) 315-0847
Authorised official
- Name
- Jennifer Christy Rogers
- Title
- Owener
- Phone
- (501) 249-8649
Registered specialties
Speech-Language Pathologist
Primary
Registry record
- NPI
- 1063674570
- Entity type
- Organization
- NPI issued
- 26 Jun 2008
- Record last updated
- 26 Jun 2008
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.