IndividualActive
Canyon Barber, ATC
NPI 1548810971 · Athletic Trainer · Conway, AR
Provider details
- NPI number
- 1548810971
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- License
- 2000040195
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
201 Donaghey Ave
Conway, AR 72035-5001
Phone: (501) 450-5000
Approximate (ZIP-level) locationGet directions
Mailing address
300 S Donaghey Ave Apt C11
Conway, AR 72034-6897
Registry dates
- Enumerated
- 2019-09-17
- Last updated
- 2020-08-18
- Certified
- 2020-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.