Individual provider · Type 1 NPI

Douglas Wade Cunningham

Physical Therapy Assistant · Fayetteville, AR

NPI number 1154679736 Active

Practice location

2474 E Joyce Blvd, Ste. 2
Fayetteville, AR 72703-4519

Call (479) 521-8326 Map

Fax (479) 521-5439

Mailing address

1401 Spruce St
Pea Ridge, AR 72751-2751

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA 2668 (AR)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1154679736

Douglas Wade Cunningham's National Provider Identifier is 1154679736, issued on Aug 29, 2012. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Fayetteville, AR. The record was last updated on Aug 29, 2012.