Provider Demographics
NPI:1790458172
Name:STONE, CLAIRE (PT, DPT, CBS)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:
Last Name:STONE
Suffix:
Gender:F
Credentials:PT, DPT, CBS
Other - Prefix:
Other - First Name:CLAIRE
Other - Middle Name:
Other - Last Name:HUMPHRIES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:1720 E SUSAN DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-3046
Mailing Address - Country:US
Mailing Address - Phone:972-824-6492
Mailing Address - Fax:
Practice Address - Street 1:109 SPRING ST STE 3
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72764-4500
Practice Address - Country:US
Practice Address - Phone:479-208-6595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-30
Last Update Date:2025-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174N00000X
AR4537225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No174N00000XOther Service ProvidersLactation Consultant, Non-RN