Spine Institute PA
NPI #1396882213 in Blytheville, Arkansas
Provider Information
- NPI Number
- 1396882213
- Entity Type
- Organization
- Organization Name
- Spine Institute PA
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Jan 31, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 827 E MAIN ST STE B
- City
- Blytheville
- State
- Arkansas
- ZIP Code
- 72315-2532
- Phone
- (870) 763-8155
Authorized Official
- Name
- MRS. LAURA ELIZABETH OLDHAM
- Title
- OWNER
- Phone
- (870) 763-8155
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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