Provider Demographics
NPI:1376951368
Name:FINK, CHAD (ATC)
Entity Type:Individual
Prefix:MR
First Name:CHAD
Middle Name:
Last Name:FINK
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7058 W SUNSET AVE
Mailing Address - Street 2:SUITE 9A
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72762-0680
Mailing Address - Country:US
Mailing Address - Phone:479-751-8437
Mailing Address - Fax:479-802-0575
Practice Address - Street 1:7058 W SUNSET AVE
Practice Address - Street 2:SUITE 9A
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72762-0680
Practice Address - Country:US
Practice Address - Phone:479-751-8437
Practice Address - Fax:479-802-0575
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-23
Last Update Date:2014-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARAT 3202255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer