Healthcare Provider Details

I. General information

NPI: 1063975571
Provider Name (Legal Business Name): ARKANSAS BIOMECHANICS AND REHABILITATION, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2019
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 MATHIAS DR STE C
SPRINGDALE AR
72762-0710
US

IV. Provider business mailing address

1110 MATHIAS DR STE C
SPRINGDALE AR
72762-0710
US

V. Phone/Fax

Practice location:
  • Phone: 479-595-1947
  • Fax:
Mailing address:
  • Phone: 479-332-4100
  • Fax: 479-332-4092

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: AMY SUE COONFIELD
Title or Position: CREDENTIALING
Credential:
Phone: 479-332-4100