IndividualActive
Benjamin Authement
NPI 1689309932 · Athletic Trainer · Conway, AR
Provider details
- NPI number
- 1689309932
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 300760 (LA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1501 College Ave
Conway, AR 72034-6401
Phone: (501) 205-8937
Approximate (ZIP-level) locationGet directions
Mailing address
2302 College Ave
Conway, AR 72034-6297
Registry dates
- Enumerated
- 2022-07-20
- Last updated
- 2022-07-20
- Certified
- 2022-07-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.