Healthcare Provider Details

I. General information

NPI: 1063962470
Provider Name (Legal Business Name): CHELSEY NICOLE SPRAGINS DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHELSEY NICOLE PRICE DPT

II. Dates (important events)

Enumeration Date: 10/10/2016
Last Update Date: 03/15/2023
Certification Date: 03/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 N PARKVIEW DR
FAYETTEVILLE AR
72703-6398
US

IV. Provider business mailing address

5230 WILLOW CREEK DR
SPRINGDALE AR
72762-0876
US

V. Phone/Fax

Practice location:
  • Phone: 479-966-4187
  • Fax: 479-966-4197
Mailing address:
  • Phone: 479-445-6800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number4225
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: