NPI 1063892263
Allison Susa, ATC
Practice location
- Address
- 2200 Meadowlake Rd APT. 1703, Conway, AR 72032-2578
- Phone
- (715) 937-2017
- Mailing address
- 201 Donaghey Ave, Conway, AR 72035-5001
Registered specialties
Athletic Trainer
Primary
Registry record
- NPI
- 1063892263
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 2 Jun 2015
- Record last updated
- 23 Oct 2017
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.