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NPI Code Detail

MEDICARE: HIEN XUAN MAI PT, DPT

MEDICARE: HIEN XUAN MAI PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251X0800XOrthopedic Physical Therapist

General Provider Information

NPI Number : 1194656777
Entity Type Code : Individual
Provider Name (Legal Business Name) : HIEN XUAN MAI PT, DPT
Provider Business Mailing Address
First Line : 1523 JACKSON ST
Second Line :
City : FORT SMITH
State : AR
Zip : 72901-7247
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2668 E CITIZENS DR STE 5
Second Line :
City : FAYETTEVILLE
State : AR
Zip : 72703-4796
Country : US
Telephone Number : 479-595-0711
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2026
Last Update Date : 05/25/2026

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Directions to “ HIEN XUAN MAI PT, DPT” Practice Location

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