Provider Demographics
NPI:1346473139
Name:TRACY JONES PHYSICAL THERAPY SERVICES, P.A.
Entity Type:Organization
Organization Name:TRACY JONES PHYSICAL THERAPY SERVICES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:RENE
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:870-933-6393
Mailing Address - Street 1:1107 E MATTHEWS AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401-4315
Mailing Address - Country:US
Mailing Address - Phone:870-933-6393
Mailing Address - Fax:870-933-6763
Practice Address - Street 1:1107 E MATTHEWS AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-4315
Practice Address - Country:US
Practice Address - Phone:870-933-6393
Practice Address - Fax:870-933-6763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-27
Last Update Date:2009-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPT 2023261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy