Provider Demographics
NPI:1659700490
Name:ASHLEY J PERKINS
Entity Type:Organization
Organization Name:ASHLEY J PERKINS
Other - Org Name:INTEGRITY HEALTH CENTER PHYSICAL THERAPY DIVISION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:J
Authorized Official - Last Name:PERKINS
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:870-704-4072
Mailing Address - Street 1:775 E PARKVIEW ST
Mailing Address - Street 2:
Mailing Address - City:BOLIVAR
Mailing Address - State:MO
Mailing Address - Zip Code:65613-1367
Mailing Address - Country:US
Mailing Address - Phone:870-704-4072
Mailing Address - Fax:870-743-9881
Practice Address - Street 1:106 E CRANDALL AVE
Practice Address - Street 2:SUITE A
Practice Address - City:HARRISON
Practice Address - State:AR
Practice Address - Zip Code:72601-3628
Practice Address - Country:US
Practice Address - Phone:870-704-4072
Practice Address - Fax:870-743-9881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-02
Last Update Date:2013-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPT3602225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty