Healthcare Provider Details

I. General information

NPI: 1215973342
Provider Name (Legal Business Name): REAPER PHYSICAL THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2006
Last Update Date: 02/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2918 HAWKINS DR.
SEARCY AR
72143
US

IV. Provider business mailing address

2918 HAWKINS DR
SEARCY AR
72143
US

V. Phone/Fax

Practice location:
  • Phone: 501-279-9255
  • Fax: 501-279-9257
Mailing address:
  • Phone: 501-279-9255
  • Fax: 501-279-9257

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. LOUIS FRANK REAPER
Title or Position: PRESIDENT
Credential: PT MS GCS
Phone: 501-279-9255