IndividualActive
Addison Buttress, PTA
NPI 1619669652 · Physical Therapy Assistant · Van Buren, AR
Provider details
- NPI number
- 1619669652
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4819 (AR)
Practice location
115 Pointer Trl W
Van Buren, AR 72956-2236
Phone: (479) 471-1290
Fax: (479) 474-5182
Mailing address
115 Pointer Trl W
Van Buren, AR 72956-2236
Registry dates
- Enumerated
- 2023-05-25
- Last updated
- 2023-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.