Healthcare Provider Details

I. General information

NPI: 1942475702
Provider Name (Legal Business Name): TRI-THERAPY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2008
Last Update Date: 04/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2208 W BEEBE CAPPS EXPY
SEARCY AR
72143-5019
US

IV. Provider business mailing address

2208 W BEEBE CAPPS EXPY
SEARCY AR
72143-5019
US

V. Phone/Fax

Practice location:
  • Phone: 501-268-5008
  • Fax: 501-268-5025
Mailing address:
  • Phone: 501-268-5008
  • Fax: 501-268-5025

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225500000X
TaxonomyRespiratory/Developmental/Rehabilitative Specialist/Technologist
License NumberOTR 1873
License Number StateAR

VIII. Authorized Official

Name: BARBARA MURPHY
Title or Position: HUMAN RESOURCE DIRECTOR
Credential:
Phone: 501-268-5008