Healthcare Provider Details
I. General information
NPI: 1184108441
Provider Name (Legal Business Name): HOUSECALLS PHYSIOTHERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/21/2018
Last Update Date: 12/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1397 SULLIVAN CIR
JONESBORO AR
72404-9584
US
IV. Provider business mailing address
1397 SULLIVAN CIR
JONESBORO AR
72404-9584
US
V. Phone/Fax
- Phone: 501-515-0110
- Fax:
- Phone: 870-253-4202
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHRISTOPHER
M.
SCHOOLFIELD
Title or Position: OWNER
Credential: PT, DPT
Phone: 501-515-0110