Healthcare Provider Details

I. General information

NPI: 1821712621
Provider Name (Legal Business Name): REBECCA KATHERINE STALDER PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REBECCA KATHERINE ENGLIS

II. Dates (important events)

Enumeration Date: 09/27/2022
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1336 CARLEY RD STE 10-12
SPRINGDALE AR
72762-5910
US

IV. Provider business mailing address

1336 CARLEY RD STE 10-12
SPRINGDALE AR
72762-5910
US

V. Phone/Fax

Practice location:
  • Phone: 479-318-1660
  • Fax: 888-333-7356
Mailing address:
  • Phone: 479-318-1660
  • Fax: 888-333-7356

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT5207
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: