Provider Demographics
NPI:1235453259
Name:CUIZON, GEOFFREY M (PT)
Entity Type:Individual
Prefix:MR
First Name:GEOFFREY
Middle Name:M
Last Name:CUIZON
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 OVERLOOK RD
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72143-4921
Mailing Address - Country:US
Mailing Address - Phone:501-278-0480
Mailing Address - Fax:
Practice Address - Street 1:5140 HIGHWAY 367 S
Practice Address - Street 2:
Practice Address - City:MC RAE
Practice Address - State:AR
Practice Address - Zip Code:72102-9656
Practice Address - Country:US
Practice Address - Phone:501-726-8080
Practice Address - Fax:501-726-8081
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-19
Last Update Date:2010-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPT1177225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist