MR. Jerry Wayne Manning, PT

NPI #1043207525 in Russellville, Arkansas

Provider Information

NPI Number: 1043207525
Entity Type: Individual
Name: MR. Jerry Wayne Manning, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Sep 30, 2005
Last Updated: Sep 19, 2023

Practice Location

Address: 3016 W MAIN ST STE 200
City: Russellville
State: Arkansas
ZIP Code: 72801-2453
Phone: (479) 967-9657

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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