Provider Demographics
NPI:1912124140
Name:NAFTZGER, VICKI PARKS (PT, PCS)
Entity Type:Individual
Prefix:
First Name:VICKI
Middle Name:PARKS
Last Name:NAFTZGER
Suffix:
Gender:F
Credentials:PT, PCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2117 S SPRING ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72206-1566
Mailing Address - Country:US
Mailing Address - Phone:501-231-5354
Mailing Address - Fax:501-833-0957
Practice Address - Street 1:2117 S SPRING ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72206-1566
Practice Address - Country:US
Practice Address - Phone:501-231-5354
Practice Address - Fax:501-833-0957
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR4412251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics