Provider Demographics
NPI:1821327800
Name:BIEKER, WILLIAM ELWOOD (PT)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:ELWOOD
Last Name:BIEKER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9305 HOUSTON ST
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72903-5656
Mailing Address - Country:US
Mailing Address - Phone:479-719-4723
Mailing Address - Fax:
Practice Address - Street 1:257 AIRPORT RD STE E
Practice Address - Street 2:
Practice Address - City:OZARK
Practice Address - State:AR
Practice Address - Zip Code:72949-9266
Practice Address - Country:US
Practice Address - Phone:479-667-3710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-21
Last Update Date:2009-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2357225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist