Healthcare Provider Details

I. General information

NPI: 1144940016
Provider Name (Legal Business Name): ASHLYN C CHAMBERS BT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2022
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 MUSEUM RD
CONWAY AR
72032-4739
US

IV. Provider business mailing address

PO BOX 1270
DE QUEEN AR
71832-1270
US

V. Phone/Fax

Practice location:
  • Phone: 501-358-6535
  • Fax:
Mailing address:
  • Phone: 870-584-9155
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5904
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: