Provider Demographics
NPI:1861865784
Name:THARP, TERRI (PT, DPT)
Entity Type:Individual
Prefix:
First Name:TERRI
Middle Name:
Last Name:THARP
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 GLADON
Mailing Address - Street 2:
Mailing Address - City:WEST HELENA
Mailing Address - State:AR
Mailing Address - Zip Code:72390-1719
Mailing Address - Country:US
Mailing Address - Phone:334-494-3026
Mailing Address - Fax:
Practice Address - Street 1:305 VALLEY DR
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:AR
Practice Address - Zip Code:72342-1505
Practice Address - Country:US
Practice Address - Phone:870-338-4425
Practice Address - Fax:870-338-4411
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-02
Last Update Date:2015-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPT3717225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist