Ryan Daniel McCullough, PTA

Physical Therapy Assistant · Ash Flat, AR

Individual Active NPI

NPI number 1992380455

Practice location

75 Industrial Drive
Ash Flat, AR 72513
Phone
(501) 352-6105

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NPI record

NPI
1992380455
Entity type
Individual (Type 1)
Enumeration date
March 16, 2021
Last updated
March 16, 2021
Certified
February 24, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 4615 AR

Mailing address

291 Emerson Dr.
Violet Hill, AR 72584

Other practice locations (1)

  • 114 Sanders St, Salem, AR 72576-8002 · (501) 352-6105

About Ryan McCullough

Ryan Daniel McCullough, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 75 Industrial Drive, Ash Flat, AR 72513. The NPI number 1992380455 was assigned on March 16, 2021 and the record was last updated on March 16, 2021.

Ryan McCullough lists a license in the registry: #4615 (AR) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ryan Daniel McCullough, PTA?

The NPI number is 1992380455.

What is the phone number of Ryan McCullough?

The phone number listed for the practice location is (501) 352-6105.

Where is Ryan McCullough located?

75 Industrial Drive, Ash Flat, AR 72513.

What is the taxonomy code for Ryan McCullough?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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