Mark Gregory Calaway in Little Rock - Sports
Mark Gregory Calaway - NPI 1497713531
Mark Gregory Calaway is a Sports in Little Rock, Arkansas. Mark Gregory Calaway practices all healthcare services and medical treatments related to Sports. The NPI Number for Mark Gregory Calaway is 1497713531. The last update date is 2014-06-11.
Mark Gregory Calaway's current location address is 600 S Mckinley St, Little Rock, Arkansas. You can contact this provider via phone number 5012250181 and fax number 5012250384. The mailing address for Mark Gregory Calaway is 600 S Mckinley St, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Gregory Calaway |
|---|---|
| Address | 600 S Mckinley St, Little Rock, Arkansas |
| Phone Number | 5012250181 |
| Fax Number | 5012250384 |
| Sole Proprietor | N |
| Credentials | P.T. |
NPI Number Detail
| NPI Number | 1497713531 |
|---|---|
| Provider Enumeration Date | 2006-05-01 |
| Last Updated Date | 2014-06-11 |
Provider Mailing Address Detail
| Address | 600 S Mckinley St |
|---|---|
| City | Little Rock |
| State | Arkansas (AR) |
| Post Code | 722055202 |
| Phone Number | 5012250181 |
| Fax Number | 5012250384 |
Provider's Primary Taxonomy Detail
| Speciality | Sports |
|---|---|
| Taxonomy | 2251S0007X |
| Licence No | PT1208 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, patholog |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00753833 | AR | RRM | |
| PT1208 | AR | ASB OF PT |
Post Comment/ Review Below
What is the unique identifier code issued to Mark Gregory Calaway by the Centers for Medicare & Medicaid Services?
The Mark Gregory Calaway has been assigned the NPI (National Provider Identifier) 1497713531. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Mark Gregory Calaway's facilities are geographically located?
The facilities of Mark Gregory Calaway are physically situated at the following location: 600 S Mckinley St, Little Rock, AR, 722055202.
What is the Mark Gregory Calaway's specialty and taxonomy code?
The Mark Gregory Calaway's specialty is Sports, and the corresponding taxonomy code is 2251S0007X.
On what date did the Centers for Medicare & Medicaid Services assign the 1497713531 to Mark Gregory Calaway?
The Centers for Medicare & Medicaid Services assigned the 1497713531 to Mark Gregory Calaway on 2006-05-01.
As of what date were the details pertaining to Mark Gregory Calaway last refreshed?
The information related to the Mark Gregory Calaway, including its address, specialty, and other relevant details, was last updated on 2014-06-11.