Healthcare Provider Details

I. General information

NPI: 1437115961
Provider Name (Legal Business Name): ARCHWAY THERAPY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 W SUNBRIDGE DR
FAYETTEVILLE AR
72703-1899
US

IV. Provider business mailing address

125 W SUNBRIDGE DR
FAYETTEVILLE AR
72703-1899
US

V. Phone/Fax

Practice location:
  • Phone: 479-587-9201
  • Fax: 479-527-9439
Mailing address:
  • Phone: 479-587-9201
  • Fax: 479-527-9439

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MISSY BAUGH
Title or Position: OWNER
Credential:
Phone: 479-587-9201