NPI 1255560793

Charles Richard Cantrell, LMT

Practitioner Mechanotherapist Harrison, AR

Practice location

Address: 105 E Crandall Ave, Harrison, AR 72601-3629
Phone: (870) 704-4072
Fax: (870) 743-9881

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence 6608 (AR)

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Registry record

NPI: 1255560793
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jul 2009
Record last updated: 6 Jul 2009

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.