Healthcare Provider Details

I. General information

NPI: 1164349692
Provider Name (Legal Business Name): BRITTANY CAROLINE MATTHEWS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

956 MATHIAS DR
SPRINGDALE AR
72762-0985
US

IV. Provider business mailing address

956 MATHIAS DR
SPRINGDALE AR
72762-0985
US

V. Phone/Fax

Practice location:
  • Phone: 479-419-9911
  • Fax: 479-419-5594
Mailing address:
  • Phone: 479-419-9911
  • Fax: 479-419-5594

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: