Healthcare Provider Details

I. General information

NPI: 1366697559
Provider Name (Legal Business Name): YOLANDA BIGGS LMT, CNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/01/2008
Last Update Date: 09/30/2022
Certification Date: 09/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9871 BROCKINGTON RD STE 1
SHERWOOD AR
72120-3592
US

IV. Provider business mailing address

9871 BROCKINGTON RD STE 1
SHERWOOD AR
72120-3592
US

V. Phone/Fax

Practice location:
  • Phone: 501-626-6808
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number4723
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: