| Colton Wise, DPT | |
|
13238 Wallin Mountain Rd, West Fork, AR 72774-9215 | |
| (479) 502-5727 | |
| Not Available |
| Full Name | Colton Wise |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 13238 Wallin Mountain Rd, West Fork, Arkansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700663705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5389 (Arkansas) | Secondary |
| 225100000X | Physical Therapist | CP024931T (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Colton Wise, DPT 13238 Wallin Mountain Rd, West Fork, AR 72774-9215 Ph: () - | Colton Wise, DPT 13238 Wallin Mountain Rd, West Fork, AR 72774-9215 Ph: (479) 502-5727 |
Jacqueline Anderson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13682 Mineral Springs Rd, West Fork, AR 72774 Phone: 479-957-1610 | |
Lisa Schaefer, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 272 School Ave, West Fork, AR 72774 Phone: 479-839-3349 Fax: 479-839-3752 |