Provider Demographics
NPI:1063962470
Name:SPRAGINS, CHELSEY NICOLE (DPT)
Entity type:Individual
Prefix:DR
First Name:CHELSEY
Middle Name:NICOLE
Last Name:SPRAGINS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:CHELSEY
Other - Middle Name:NICOLE
Other - Last Name:PRICE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT
Mailing Address - Street 1:5230 WILLOW CREEK DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72762-0876
Mailing Address - Country:US
Mailing Address - Phone:479-445-6800
Mailing Address - Fax:
Practice Address - Street 1:3900 N PARKVIEW DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-6398
Practice Address - Country:US
Practice Address - Phone:479-966-4187
Practice Address - Fax:479-966-4197
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-10
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR4225225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist