Provider Demographics
NPI:1649759077
Name:WEBB, PATTI ANN (MS, AT)
Entity Type:Individual
Prefix:
First Name:PATTI
Middle Name:ANN
Last Name:WEBB
Suffix:
Gender:F
Credentials:MS, AT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ALMA
Mailing Address - State:AR
Mailing Address - Zip Code:72921-3607
Mailing Address - Country:US
Mailing Address - Phone:479-670-3755
Mailing Address - Fax:479-632-5070
Practice Address - Street 1:101 E MAIN ST
Practice Address - Street 2:
Practice Address - City:ALMA
Practice Address - State:AR
Practice Address - Zip Code:72921-3607
Practice Address - Country:US
Practice Address - Phone:479-670-3755
Practice Address - Fax:479-632-5070
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-07
Last Update Date:2018-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR5572255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer