Whalio Doctors

NPI 1114176047

Tessa Michele Moody, PT

Practitioner Physical Therapist De Queen, AR

Practice location

Address
300 W Collin Raye Dr Spc 106, De Queen, AR 71832-2007
Phone
(870) 584-1085
Fax
(870) 584-1095

Registered specialties

Physical Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 3083 (AR)

Registry record

NPI
1114176047
Entity type
Individual
Sex (as registered)
Female
NPI issued
16 Sep 2008
Record last updated
16 Aug 2021

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.