IndividualActive
Brady Shollenbarger
NPI 1497411649 · Physical Therapist · Benton, KY
Provider details
- NPI number
- 1497411649
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 5004 (AR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
244 US Highway 68 E
Benton, KY 42025-7568
Phone: (870) 215-1947
Approximate (ZIP-level) locationGet directions
Mailing address
4624 Jeri Cv
Jonesboro, AR 72404-8190
Registry dates
- Enumerated
- 2021-11-11
- Last updated
- 2022-03-15
- Certified
- 2022-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.