Rogerson, Thomas Kirk

Rogerson, Thomas Kirk is an individual health care provider with primary practice located at 3561 Johnson Mill Blvd Ste 201 , Fayetteville AR 72704-5065. 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. Rogerson, Thomas Kirk can be contacted via phone (479) 404-4530.

Contact Information

Primary practice address
3561 Johnson Mill Blvd Ste 201 Fayetteville AR 72704-5065
Phone: (479) 404-4530
Fax: (479) 404-4526
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT937 Arkansas

Profile Details

NPI number 1497728000
LBN Legal business name Rogerson, Thomas Kirk
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Jun 22nd, 2021 - about 4 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 1497728000 NPPES
Arkansas Other 710685433 TAX ID
Arkansas Other 5S355 TAX ID

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