NPI 1053410670

Brandi Sue Rudder, PTA

Practitioner Physical Therapy Assistant Springdale, AR

Practice location

Address: 1112 S 48th St STE B, Springdale, AR 72762-5848
Phone: (479) 751-3900
Mailing address: PO Box 871, Tontitown, AR 72770-0871

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA1969 (AR)

Other Physical Therapy Assistant providers in Arkansas →

Registry record

NPI: 1053410670
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Sep 2006
Record last updated: 8 Jul 2007

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.