Provider Demographics
NPI:1134517972
Name:PITTS, RODNEY ALLEN (DPT)
Entity Type:Individual
Prefix:
First Name:RODNEY
Middle Name:ALLEN
Last Name:PITTS
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5945 COUNTY ROAD 4490
Mailing Address - Street 2:
Mailing Address - City:OZONE
Mailing Address - State:AR
Mailing Address - Zip Code:72854-8862
Mailing Address - Country:US
Mailing Address - Phone:479-746-4699
Mailing Address - Fax:
Practice Address - Street 1:5945 COUNTY ROAD 4490
Practice Address - Street 2:
Practice Address - City:OZONE
Practice Address - State:AR
Practice Address - Zip Code:72854-8862
Practice Address - Country:US
Practice Address - Phone:479-746-4699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-01
Last Update Date:2015-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPT 2875225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist