Huddleston, Amanda Kathlene Dixon

Huddleston, Amanda Kathlene Dixon is an individual health care provider with primary practice located at 5052 W Waverly Rd , Fayetteville AR 72704-6957. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation, which is considered as her primary health care specialty. Huddleston, Amanda Kathlene Dixon can be contacted via phone (918) 261-4023.

Contact Information

Primary practice address
5052 W Waverly Rd Fayetteville AR 72704-6957
Phone: (918) 261-4023
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation 225XP0019X 1518 Oklahoma

Profile Details

NPI number 1265745418
LBN Legal business name Huddleston, Amanda Kathlene Dixon
Credentials MOT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2010
Last updated Nov 20th, 2015 - 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 1265745418 NPPES
Arkansas Other OTR2862 ARKANSAS STATE MEDICAL BOARD
Arkansas Other 1518 ARKANSAS STATE MEDICAL BOARD

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