IndividualActive
Alicia Elledge, CPO, LPO
NPI 1689101990 · Orthotist · Springdale, AR
Provider details
- NPI number
- 1689101990
- Entity type
- Individual
- Primary specialty
- OrthotistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CPO, LPO
- Sex
- Female
- Sole proprietor
- No
- License
- OPP00269 (AR)
Practice location
4710 S Thompson St Ste 101
Springdale, AR 72764-2609
Phone: (479) 750-4294
Fax: (479) 750-4754
Mailing address
4710 S Thompson St Ste 101
Springdale, AR 72764-2609
Registry dates
- Enumerated
- 2017-05-17
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.