Individual provider · Type 1 NPI

Maya Talise Wilson Bates, PT, DPT

Physical Therapist · Fayetteville, AR

NPI number 1689414906 Active

Practice location

2668 E Citizens Dr Ste 5
Fayetteville, AR 72703-4796

Fax (479) 239-5444

Mailing address

1022 S Beebalm Ave
Fayetteville, AR 72701-5410

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X5456 (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 1689414906

Maya Talise Wilson Bates, PT, DPT's National Provider Identifier is 1689414906, issued on May 27, 2024. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Fayetteville, AR. The record was last updated on Jun 16, 2026.