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:
Health care specialties
| Specialty | Code | License # | 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 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649261942 | NPPES |
| Arkansas | Other | 5C407 | BLUE CROSS PROVIDER NUMBE |
| Arkansas | MEDICAID | 117394742 | BLUE CROSS PROVIDER NUMBE |
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