OrganizationActive
Crestwood Foot Clinic, LLC
NPI 1962677906 · Podiatrist · North Little Rock, AR
Provider details
- NPI number
- 1962677906
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Authorized official
- Martha Jackson, Owner
- License
- 87 (AR)
Practice location
2501 Crestwood Rd
Suite 101
North Little Rock, AR 72116-6864
Phone: (501) 771-4785
Fax: (501) 771-4785
Mailing address
2501 Crestwood Rd
North Little Rock, AR 72116-6864
Registry dates
- Enumerated
- 2008-04-29
- Last updated
- 2020-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.