IndividualActive
Charles Story, PTA
NPI 1467701250 · Physical Therapy Assistant · Magnolia, AR
Provider details
- NPI number
- 1467701250
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- PTA2665 (AR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
191 E Columbia # 25
Magnolia, AR 71753
Phone: (870) 234-3996
Approximate (ZIP-level) locationGet directions
Mailing address
191 E Columbia # 25
Magnolia, AR 71753
Registry dates
- Enumerated
- 2012-09-07
- Last updated
- 2012-09-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.