Provider Demographics
NPI:1013157064
Name:WHITE, ANITA K (CRT)
Entity Type:Individual
Prefix:MRS
First Name:ANITA
Middle Name:K
Last Name:WHITE
Suffix:
Gender:F
Credentials:CRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:102A FLINTROCK ST
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-9864
Mailing Address - Country:US
Mailing Address - Phone:501-276-1075
Mailing Address - Fax:501-623-8237
Practice Address - Street 1:1910 ALBERT PIKE RD STE H
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-4090
Practice Address - Country:US
Practice Address - Phone:501-623-8520
Practice Address - Fax:501-623-8237
Is Sole Proprietor?:No
Enumeration Date:2009-03-04
Last Update Date:2009-03-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARRCP-18892278P1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278P1005XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedPulmonary Rehabilitation