Provider Demographics
NPI:1831126507
Name:ENGLAND, DAVID RAY (ATC, LAT)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:RAY
Last Name:ENGLAND
Suffix:
Gender:M
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7777
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72702-7777
Mailing Address - Country:US
Mailing Address - Phone:479-575-4018
Mailing Address - Fax:479-575-6525
Practice Address - Street 1:1270 W. LEROY POND DR.
Practice Address - Street 2:WALTON ARENA
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72701
Practice Address - Country:US
Practice Address - Phone:479-575-4018
Practice Address - Fax:479-575-6525
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARAT 1252255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer