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NPI Code Detail

MEDICARE: CALISTA E. SNOW P.T.

MEDICARE: CALISTA E. SNOW P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT552AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427022128
Entity Type Code : Individual
Provider Name (Legal Business Name) : CALISTA E. SNOW P.T.
Provider Business Mailing Address
First Line : 22 SOUTHPARK SHOPPING CTR
Second Line :
City : NASHVILLE
State : AR
Zip : 71852-3307
Country : US
Telephone Number : 870-845-5600
Fax Number : 870-845-5605
Provider Business Practice Location Address
First Line : 22 SOUTHPARK SHOPPING CTR
Second Line :
City : NASHVILLE
State : AR
Zip : 71852-3307
Country : US
Telephone Number : 870-845-5600
Fax Number : 870-845-5605
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2006
Last Update Date : 09/22/2010

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Directions to “ CALISTA E. SNOW P.T.” Practice Location

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