Healthcare Provider Details

I. General information

NPI: 1134596380
Provider Name (Legal Business Name): COMMON SENSE THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2015
Last Update Date: 08/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

266 COUNTY ROAD 3027
EUREKA SPRINGS AR
72632-9721
US

IV. Provider business mailing address

266 COUNTY ROAD 3027
EUREKA SPRINGS AR
72632-9721
US

V. Phone/Fax

Practice location:
  • Phone: 870-416-1173
  • Fax:
Mailing address:
  • Phone: 870-416-1173
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number4012
License Number StateAR

VIII. Authorized Official

Name: MS. JOANNE GOULCH
Title or Position: OWNER/OPERATOR
Credential: PT
Phone: 479-253-1815