Source Therapy Solutions Pllc

NPI #1194061309 in Malvern, Arkansas

Provider Information

NPI Number: 1194061309
Entity Type: Organization
Organization Name: Source Therapy Solutions Pllc
Primary Specialty: Physical Therapist
Enumeration Date: Dec 14, 2012
Last Updated: Jan 25, 2021

Practice Location

Address: 1721 MARTIN LUTHER KING BLVD
Address 2: SUITE I
City: Malvern
State: Arkansas
ZIP Code: 72104-2085
Phone: (501) 249-5354

Authorized Official

Name: MICHAEL ROBERT SCHOULTZ, PT, DPT
Title: OWNER, CHIEF MANAGER, THERAPIST
Phone: (501) 249-5354

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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