Healthcare Provider Details

I. General information

NPI: 1942136627
Provider Name (Legal Business Name): VICTORIA LOONEY LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HALSTED CIR STE 5
ROGERS AR
72756-3150
US

IV. Provider business mailing address

3295 KINGS DR
SPRINGDALE AR
72764-9131
US

V. Phone/Fax

Practice location:
  • Phone: 479-426-3881
  • Fax:
Mailing address:
  • Phone: 479-426-3881
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number1616897
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: