Healthcare Provider Details

I. General information

NPI: 1831406065
Provider Name (Legal Business Name): SOLUTIONS PHYSICAL THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2010
Last Update Date: 09/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2704 ALEXANDER DR STE G
JONESBORO AR
72401-7079
US

IV. Provider business mailing address

2301 MORNINGSIDE DR
JONESBORO AR
72404-8050
US

V. Phone/Fax

Practice location:
  • Phone: 870-680-2626
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT 1729
License Number StateAR

VIII. Authorized Official

Name: MR. KEITH JOHNSON
Title or Position: PHYSICAL THERAPIST/OWNER
Credential: PT, MTC, COMT
Phone: 870-680-2626