Provider Demographics
NPI:1033410782
Name:HURST, KARL TRUE (PT2020)
Entity Type:Individual
Prefix:MR
First Name:KARL
Middle Name:TRUE
Last Name:HURST
Suffix:
Gender:M
Credentials:PT2020
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10914 CRICKET CUTOFF
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:AR
Mailing Address - Zip Code:72662-9375
Mailing Address - Country:US
Mailing Address - Phone:870-391-6313
Mailing Address - Fax:
Practice Address - Street 1:909 W MAIN ST
Practice Address - Street 2:
Practice Address - City:GREEN FOREST
Practice Address - State:AR
Practice Address - Zip Code:72638-2316
Practice Address - Country:US
Practice Address - Phone:870-391-6313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-11
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPT2020174400000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR$$$$$$$$$OtherSS#