Healthcare Provider Details

I. General information

NPI: 1063327864
Provider Name (Legal Business Name): WILLIAM FIELDING BELK JR. DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 GRANT AVE
JONESBORO AR
72401-6155
US

IV. Provider business mailing address

1908 WALNUT VALLEY DR
PARAGOULD AR
72450-6085
US

V. Phone/Fax

Practice location:
  • Phone: 870-974-9114
  • Fax: 870-974-9184
Mailing address:
  • Phone: 901-831-7222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5859
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: