Whalio Doctors

NPI 1114421922

Serc Rehabilitation Partners LLC

Organisation Physical Therapist Fayetteville, AR

Practice location

Address
1261 N Steamboat Dr STE 2, Fayetteville, AR 72704-6262
Phone
(479) 313-6591
Fax
(479) 313-7650
Mailing address
6397 Lee Hwy STE 300, Chattanooga, TN 37421-2564

Authorised official

Name
Kevin Johanneson
Title
Vp Revenue Cycle Operations
Phone
(423) 238-2313

Registered specialties (2)

Physical Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X
Occupational Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X

Registry record

NPI
1114421922
Entity type
Organization
NPI issued
19 Mar 2018
Record last updated
19 Mar 2018

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.