Individual provider · Type 1 NPI

Kelly Nicole Edwards, PT

Physical Therapist · Fayetteville, AR

NPI number 1144108754 Active

Practice location

3317 N Wimberly Dr Fl 2
Fayetteville, AR 72703-4056

Fax (479) 587-3185

Specialties and licenses

Taxonomy	Code	License
Physical Therapist Primary	225100000X	PT4054 (AR)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1144108754

Kelly Nicole Edwards, PT's National Provider Identifier is 1144108754, issued on Aug 22, 2025. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Fayetteville, AR. The record was last updated on Aug 22, 2025.