Reesha Davis
Physical Therapist - Pediatrics
2740 College Avenue
Conway
, Arkansas 72034-9310
Reesha Davis
Physical Therapist - Pediatrics
2740 College Avenue
Conway
, Arkansas 72034-9310
(501) 329-4259
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About
Features
Specialties
- Physical Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Reesha Davis
- 2725 Archer Ln
- Conway, AR
- Zip : 72034-6759
- Phone : (501) 329-4259
Second Address
- Reesha Davis
- 2740 College Avenue
- Conway, AR
- Zip : 72034-9310
- Fax : (501) 325-1378
- Phone : (501) 329-5459
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251P0200X | Physical Therapist - Pediatrics | PT1915 | AR |
National Provider Identifier
| NPI | 1104977834 |
|---|---|
| Provider Name | Reesha Davis |
| First Address | Conway, AR 72034-6759 |
| Second Address | Conway, AR 72034-9310 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/01/2007 |
| Last Update Date | 13/09/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.