NPI 1023314432

Corey Mills, PTA

Practitioner Contractor Sherwood, AR

Practice location

Address: 9880 Brockington Rd Suite 147, Sherwood, AR 72120-3585
Phone: (501) 944-7819
Mailing address: 22 Vista Dr, Little Rock, AR 72210-1720

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence PTA 1244 (AR)

Other Contractor providers in Arkansas →

Registry record

NPI: 1023314432
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Feb 2011
Record last updated: 2 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.