Healthcare Provider Details

I. General information

NPI: 1124943634
Provider Name (Legal Business Name): HANNAH CAMPBELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5309 HIGHWAY 5 N
BRYANT AR
72022-8901
US

IV. Provider business mailing address

PO BOX 1890
BENTON AR
72018-1890
US

V. Phone/Fax

Practice location:
  • Phone: 501-847-3320
  • Fax:
Mailing address:
  • Phone: 501-778-4960
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5906
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: