Whalio Doctors

NPI 1144567140

Tim Joe Young, PTA

Practitioner Physical Therapy Assistant Fort Smith, AR

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
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence OKPTA763 (OK)

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.