NPI 1144567140
Tim Joe Young, PTA
Practice location
- Address
- 8520 S 36th Ter, Fort Smith, AR 72908-8880
- Phone
- (479) 410-1740
- Mailing address
- 34676 Cooper Rd, Poteau, OK 74953-9001
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1144567140
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 10 Jan 2013
- Record last updated
- 10 Jan 2013
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.