Provider Demographics
NPI:1811148323
Name:CURTNER, THOMAS ROBERT (PT, DPT)
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:ROBERT
Last Name:CURTNER
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:MR
Other - First Name:ROBERT
Other - Middle Name:
Other - Last Name:CURTNER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2793 E MILLENNIUM
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-6508
Mailing Address - Country:US
Mailing Address - Phone:479-521-0231
Mailing Address - Fax:479-521-0513
Practice Address - Street 1:2793 E MILLENNIUM
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-6508
Practice Address - Country:US
Practice Address - Phone:479-521-0231
Practice Address - Fax:479-521-0513
Is Sole Proprietor?:No
Enumeration Date:2008-10-02
Last Update Date:2019-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPT3099225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR131922742Medicaid
AR174821721Medicaid