IndividualActive
Andy Diaz
NPI 1609339365 · Physical Therapy Assistant · Pine Bluff, AR
Provider details
- NPI number
- 1609339365
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 2018026095 (MO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1600 W 40th Ave
Pine Bluff, AR 71603-6301
Phone: (870) 541-7100
Approximate (ZIP-level) locationGet directions
Mailing address
2646 Stark Ave
Kansas City, MO 64129-1442
Registry dates
- Enumerated
- 2019-04-10
- Last updated
- 2019-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.