Healthcare Provider Details

I. General information

NPI: 1619809233
Provider Name (Legal Business Name): DONNA DENISE LONG PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1880 AIRPORT RD STE C
HOT SPRINGS AR
71913-2117
US

IV. Provider business mailing address

325 WHISPERING HILLS ST
HOT SPRINGS NATIONAL PARK AR
71901-7316
US

V. Phone/Fax

Practice location:
  • Phone: 501-781-2701
  • Fax: 501-781-2702
Mailing address:
  • Phone: 501-454-7619
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2182
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: