Ellen Haverstick, Pllc

NPI #1134138670 in Conway, Arkansas

Provider Information

NPI Number: 1134138670
Entity Type: Organization
Organization Name: Ellen Haverstick, Pllc
Primary Specialty: Physical Therapist
Enumeration Date: Aug 5, 2006
Last Updated: Sep 10, 2024

Practice Location

Address: 1065 CLAYTON ST
Address 2: SUITE 9
City: Conway
State: Arkansas
ZIP Code: 72032-4329
Phone: (501) 328-5878

Authorized Official

Name: MS. ELLEN R HAVERSTICK, MSPT
Title: OWNER
Phone: (501) 328-5878

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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