Healthcare Provider Details

I. General information

NPI: 1245580679
Provider Name (Legal Business Name): RHIANNA L HAMPEL PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RHIANNA L RICHARDS PT, DPT

II. Dates (important events)

Enumeration Date: 09/13/2012
Last Update Date: 04/26/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3231 MAIN STREET SUITE 3
BRYANT AR
72022
US

IV. Provider business mailing address

1314 VANDERBUILT DRIVE
BENTON AR
72019
US

V. Phone/Fax

Practice location:
  • Phone: 501-847-0500
  • Fax: 501-847-0508
Mailing address:
  • Phone: 501-827-5114
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number3512
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: