Provider Demographics
NPI:1578099628
Name:MCGHEE, ELIZABETH (MS, ATC, CSCS)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:MCGHEE
Suffix:
Gender:F
Credentials:MS, ATC, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:831 DONAGHEY AVE
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034-5143
Mailing Address - Country:US
Mailing Address - Phone:501-358-6016
Mailing Address - Fax:501-358-6015
Practice Address - Street 1:500 MURPHY DR
Practice Address - Street 2:
Practice Address - City:MAUMELLE
Practice Address - State:AR
Practice Address - Zip Code:72113-6189
Practice Address - Country:US
Practice Address - Phone:501-212-2198
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARAT 6022255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer