NPI 1124162631
Tiffany Smith, PTA
Practice location
- Address
- 17706 I30 STE 3, Benton, AR 72019-2930
- Phone
- (501) 315-4414
- Fax
- (501) 315-3467
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1124162631
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 16 Feb 2007
- 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.