Whalio Doctors

NPI 1831700954

Joseph Magnusson, CTRS

Practitioner Recreation Therapist Fayetteville, AR

Practice location

Address
1100 N College Ave, Fayetteville, AR 72703-1944
Phone
(479) 443-4301
Mailing address
4349 W Serviceberry Dr, Fayetteville, AR 72704-7615

Registered specialties

Recreation Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X Licence 83231 (NC)

Registry record

NPI
1831700954
Entity type
Individual
Sex (as registered)
Male
NPI issued
12 Aug 2020
Record last updated
12 Jan 2023

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.