Matthew Wade Thornton in Little Rock - Sports
Matthew Wade Thornton - NPI 1457316572
Matthew Wade Thornton is a Sports in Little Rock, Arkansas. Matthew Wade Thornton practices all healthcare services and medical treatments related to Sports. The NPI Number for Matthew Wade Thornton is 1457316572. The last update date is 2009-02-20.
Matthew Wade Thornton's current location address is 5 St Vincent Circle, Little Rock, Arkansas. You can contact this provider via phone number 5019781440 and fax number 5019781473. The mailing address for Matthew Wade Thornton is 5 St Vincent Circle, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew Wade Thornton |
|---|---|
| Address | 5 St Vincent Circle, Little Rock, Arkansas |
| Phone Number | 5019781440 |
| Fax Number | 5019781473 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1457316572 |
|---|---|
| Provider Enumeration Date | 2006-04-20 |
| Last Updated Date | 2009-02-20 |
Provider Mailing Address Detail
| Address | 5 St Vincent Circle |
|---|---|
| City | Little Rock |
| State | Arkansas (AR) |
| Post Code | 72205 |
| Phone Number | 5019781440 |
| Fax Number | 5019781473 |
Provider's Primary Taxonomy Detail
| Speciality | Sports |
|---|---|
| Taxonomy | 2251S0007X |
| Licence No | PT2194 |
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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 |
|---|---|---|---|
| 152427721 | AR | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Matthew Wade Thornton?
The Matthew Wade Thornton has been issued the NPI (National Provider Identifier) 1457316572 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Matthew Wade Thornton?
The Matthew Wade Thornton is situated at 5 St Vincent Circle, in the city of Little Rock, state of AR, with the zip code 72205.
What is the Matthew Wade Thornton's specialty and taxonomy code?
The Matthew Wade Thornton's specialty is Sports, and the corresponding taxonomy code is 2251S0007X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1457316572 to Matthew Wade Thornton?
The Centers for Medicare & Medicaid Services originally issued the 1457316572 to Matthew Wade Thornton on 2006-04-20.
When was the information related to Matthew Wade Thornton most recently updated or refreshed?
The details pertaining to the Matthew Wade Thornton, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-02-20.
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