NPI 1164578274

Carol Annette Roddey, MSPT

Practitioner Specialist Fayetteville, AR

Practice location

Address: 2662 E Joyce Blvd STE 3, Fayetteville, AR 72703-4554
Phone: (479) 521-7337
Fax: (479) 521-7337
Mailing address: 4205 Cherokee Cv, Springdale, AR 72764-7505

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence PT1149 (AR)

Other Specialist providers in Arkansas →

Registry record

NPI: 1164578274
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Jan 2007
Record last updated: 9 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.