IndividualActive
Charles Wardlaw, ATC
NPI 1316474885 · Athletic Trainer · Junction City, AR
Provider details
- NPI number
- 1316474885
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 694 (AR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
100 W Holly Rd
Junction City, AR 71749-9031
Phone: (870) 924-4575
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 269
Junction City, AR 71749-0269
Registry dates
- Enumerated
- 2017-05-16
- Last updated
- 2017-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.