MEDICARE: GRETCHEN T TORRES PT

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
1	225100000X	Physical Therapist	PT2882	AR

General Provider Information

NPI Number	:	1669554069
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRETCHEN T TORRES PT

Provider Business Mailing Address
First Line	:	2070 MCKENZIE ST., SUITE A
Second Line	:
City	:	SPRINGDALE
State	:	AR
Zip	:	72762
Country	:	US
Telephone Number	:	479-250-4014
Fax Number	:	479-250-4015

Provider Business Practice Location Address
First Line	:	2070 MCKENZIE ST., STE A
Second Line	:
City	:	SPRINGDALE
State	:	AR
Zip	:	72762
Country	:	US
Telephone Number	:	479-250-4014
Fax Number	:	479-250-4015

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/19/2006
Last Update Date	:	01/19/2026

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