NPI 1033680590
Brooks L White, PTA
Practice location
- Address
- 4155 N Steele Blvd STE 80, Fayetteville, AR 72703-5394
- Phone
- (479) 422-9404
- Fax
- (479) 439-4641
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1033680590
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 10 Dec 2018
- Record last updated
- 10 Dec 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.