NPI 1013635945

Terran Elizabeth Gates, CPOMSPO

Practitioner Prosthetist Harrison, AR

Practice location

Address: 1325 N Main St, Harrison, AR 72601-2212
Phone: (479) 418-2297
Fax: (479) 227-5439
Mailing address: 11766 Valleyview Ln, Bentonville, AR 72712-9330

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence OPP00298 (AR)

Other Prosthetist providers in Arkansas →

Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence OPP00298 (AR)

Other Orthotist providers in Arkansas →

Registry record

NPI: 1013635945
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Aug 2022
Record last updated: 14 Sep 2023

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.