IndividualActive
Adam Tedford
NPI 1972340388 · Physical Therapy Assistant · Tuckerman, AR
Provider details
- NPI number
- 1972340388
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4949 (AR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1502 Highway 367
Tuckerman, AR 72473
Phone: (870) 522-7576
Approximate (ZIP-level) locationGet directions
Mailing address
4710 Sams Pl
Jonesboro, AR 72404-8386
Registry dates
- Enumerated
- 2024-07-11
- Last updated
- 2024-07-11
- Certified
- 2024-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.