Provider Demographics
NPI:1932432135
Name:ELKINS, MONTESSA N (PT, DPT)
Entity Type:Individual
Prefix:MRS
First Name:MONTESSA
Middle Name:N
Last Name:ELKINS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:MRS
Other - First Name:MONTESSA
Other - Middle Name:N
Other - Last Name:ELKINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:7500 DOLLARWAY RD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:WHITE HALL
Mailing Address - State:AR
Mailing Address - Zip Code:71602
Mailing Address - Country:US
Mailing Address - Phone:870-247-9900
Mailing Address - Fax:870-247-9922
Practice Address - Street 1:7500 DOLLARWAY RD
Practice Address - Street 2:SUITE 107
Practice Address - City:WHITE HALL
Practice Address - State:AR
Practice Address - Zip Code:71602
Practice Address - Country:US
Practice Address - Phone:870-247-9900
Practice Address - Fax:870-247-9922
Is Sole Proprietor?:No
Enumeration Date:2009-09-08
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPT3106225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist