| Source Therapy Solutions Pllc | |
|
1721 Martin Luther King Blvd, Suite I, Malvern, AR 72104-2085 | |
| (501) 249-5354 | |
| Not Available |
| Full Name | Source Therapy Solutions Pllc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1721 Martin Luther King Blvd, Malvern, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194061309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT3097 (Arkansas) | Primary |
| Provider Name | Michael R Schoultz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912143975 PECOS PAC ID: 1355491515 Enrollment ID: I20090609000432 |
| Mailing Address | Practice Location Address |
|---|---|
| Source Therapy Solutions Pllc 1721 Martin Luther King Blvd, Suite I, Malvern, AR 72104-2085 Ph: () - | Source Therapy Solutions Pllc 1721 Martin Luther King Blvd, Suite I, Malvern, AR 72104-2085 Ph: (501) 249-5354 |
Warrior Concierge Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 108 Hoback Ridge Rd, Malvern, AR 72104 Phone: 501-276-6929 | |
Tiffany Weston, Physical Therapist Medicare: Medicare Enrolled Practice Location: 640 Mlk Blvd, Malvern, AR 72104 Phone: 501-467-8275 Fax: 501-467-8145 | |
Stephanie Hoff Jones, P.T., D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 108 Hoback Ridge Rd, Malvern, AR 72104 Phone: 501-276-6929 | |
Pro-active Rehab Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 720 Walco Rd, Suite 240, Malvern, AR 72104 Phone: 501-467-8275 Fax: 501-467-8145 | |
Penny Peters, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1820 W Moline St, Malvern, AR 72104 Phone: 501-337-9581 | |
Emily Berry, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 850 Henry St, Malvern, AR 72104 Phone: 501-337-1836 Fax: 501-337-7935 |