Provider Demographics
NPI:1841675659
Name:LEE, ARTHUR III (DPT)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:
Last Name:LEE
Suffix:III
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7501 GOODMAN RD
Mailing Address - Street 2:SUITE I
Mailing Address - City:OLIVE BRANCH
Mailing Address - State:MS
Mailing Address - Zip Code:38654-1951
Mailing Address - Country:US
Mailing Address - Phone:662-890-3382
Mailing Address - Fax:662-890-3385
Practice Address - Street 1:7501 GOODMAN RD
Practice Address - Street 2:SUITE I
Practice Address - City:OLIVE BRANCH
Practice Address - State:MS
Practice Address - Zip Code:38654
Practice Address - Country:US
Practice Address - Phone:662-890-3382
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-22
Last Update Date:2018-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR4004225100000X
TN10422225100000X
MS5835225100000X
TX1300318225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist