Whalio Doctors

NPI 1861007791

Makesha Monique Jefferson, PTA

Practitioner Physical Therapy Assistant White Hall, AR

Practice location

Address
7500 Dollarway Rd STE 203, White Hall, AR 71602-3085
Phone
(870) 247-2099
Fax
(870) 619-1687
Mailing address
966 Dunning Ave, Camden, AR 71701-5401

Registered specialties

Physical Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2331 (AR)

Registry record

NPI
1861007791
Entity type
Individual
Sex (as registered)
Female
NPI issued
8 Sep 2020
Record last updated
8 Sep 2020

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.