Kathleen Elaine Humphrey, PTA

NPI #1477199586 in Benton, Arkansas

Provider Information

NPI Number
1477199586
Entity Type
Individual
Name
Kathleen Elaine Humphrey, PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Nov 24, 2019
Last Updated
Nov 24, 2019

Practice Location

Address
17706 INTERSTATE 30 N STE 3
City
Benton
ZIP Code
72019-2930
Phone
(501) 315-4414

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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