Provider Demographics
NPI:1740243559
Name:TURNER-MASSANELLI, ANNA CHRISTINE (DPT)
Entity type:Individual
Prefix:MS
First Name:ANNA
Middle Name:CHRISTINE
Last Name:TURNER-MASSANELLI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MS
Other - First Name:ANNA
Other - Middle Name:CHRISTINE
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:5251 E GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71901
Mailing Address - Country:US
Mailing Address - Phone:501-844-7385
Mailing Address - Fax:
Practice Address - Street 1:2113 WATTS ROAD
Practice Address - Street 2:JORDAN PHYSICAL THERAPY
Practice Address - City:BENTON
Practice Address - State:AR
Practice Address - Zip Code:71901
Practice Address - Country:US
Practice Address - Phone:501-315-5800
Practice Address - Fax:501-778-7440
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARAR28702251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic