Davidson, Richard Trevor

Davidson, Richard Trevor is an individual health care provider with primary practice located at 2603 W Pleasant Grove Rd Ste 104, Rogers AR 72758-5804. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Davidson, Richard Trevor can be contacted via phone (479) 636-1187.

Contact Information

Primary practice address
2603 W Pleasant Grove Rd Ste 104 Rogers AR 72758-5804
Phone: (479) 636-1187
Fax: (479) 636-1197
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2014034142 Missouri
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT 2893 Arkansas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT009386 Georgia

Profile Details

NPI number 1598714867
LBN Legal business name Davidson, Richard Trevor
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2006
Last updated Nov 26th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598714867 NPPES
Arkansas MEDICAID 159990721
Arkansas Other 71085780150
Arkansas Other 445934001
Arkansas Other 662725
Arkansas Other 791200
Arkansas Other MA4370090

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