NPI 1295986388

Amanda Suson Blair, DPT

Practitioner Military Health Care Provider Marshall, AR

Practice location

Address: 1458 Hensley Farm Rd, Marshall, AR 72650-8672
Phone: (870) 448-6232

Registered specialties

Military Health Care Provider Primary

Other Service Providers Taxonomy 171000000X Licence PT 3102 (AR)

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Registry record

NPI: 1295986388
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Oct 2008
Record last updated: 7 Oct 2008

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.