Provider Demographics
NPI:1982200218
Name:AYERS, BRITTANY (LMT, NREMT)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:AYERS
Suffix:
Gender:F
Credentials:LMT, NREMT
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:
Other - Last Name:FORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT
Mailing Address - Street 1:243 HOBSON AVE
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-3724
Mailing Address - Country:US
Mailing Address - Phone:501-321-1230
Mailing Address - Fax:
Practice Address - Street 1:243 HOBSON AVE
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-3724
Practice Address - Country:US
Practice Address - Phone:501-321-1230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-10
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX764093146N00000X
TX116440225700000X
AR9013225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic