NPI 1003112905

Randall Scott Decker, PTA

Practitioner Physical Therapy Assistant Fort Smith, AR

Practice location

Address: 1000 Fianna Way, Fort Smith, AR 72919
Phone: (479) 201-2000
Mailing address: 107 N. Lincoln, Hillsboro, KS 67063

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 14-01313 (KS)

Other Physical Therapy Assistant providers in Arkansas →

Registry record

NPI: 1003112905
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Feb 2011
Record last updated: 10 Feb 2011

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.