NPI 1326301508

Christopher M Willis, PTA

Practitioner Physical Therapy Assistant Magnolia, AR

Practice location

Address: 211 E Stadium, Magnolia, AR 71753-2032
Phone: (870) 234-7604
Fax: (870) 234-6669
Mailing address: 1420 Terrace, Magnolia, AR 71753-2041

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA 2603 (AR)

Other Physical Therapy Assistant providers in Arkansas →

Registry record

NPI: 1326301508
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jun 2012
Record last updated: 21 Jun 2012

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.