Coulter Physical Therapy, Inc.

LBN: Coulter Physical Therapy, Inc.
Coulter Physical Therapy, Inc. is an health care organization with primary practice located at 115 Skyline Dr Suite A, Russellville AR 72802-3310. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Coulter Physical Therapy, Inc. can be contacted via phone (479) 967-5155, or through Coulter, Seth B. via phone (479) 967-5155.

Contact Information

Primary practice address
115 Skyline Dr Suite A Russellville AR 72802-3310
Phone: (479) 967-5155
Fax: (479) 967-5141
Website:
Map and Directions
Authorized official contact:
Name: Coulter, Seth B. Physical Therapist (PT)
Phone: (479) 967-5155

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1649261942
LBN Legal business name Coulter Physical Therapy, Inc.
DBA Doing business as
Authorized official Coulter, Seth B. Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 4th, 2005
Last updated Mar 18th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649261942 NPPES
Arkansas Other 5C407 BLUE CROSS PROVIDER NUMBE
Arkansas MEDICAID 117394742 BLUE CROSS PROVIDER NUMBE

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