Whalio Doctors

NPI 1477199586

Kathleen Elaine Humphrey, PTA

Practitioner Physical Therapy Assistant Benton, AR

Practice location

Address
17706 Interstate 30 N STE 3, Benton, AR 72019-2930
Phone
(501) 315-4414

Registered specialties

Physical Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 4482 (AR)

Registry record

NPI
1477199586
Entity type
Individual
Sex (as registered)
Female
NPI issued
24 Nov 2019
Record last updated
24 Nov 2019

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.