Provider Demographics
NPI:1083066856
Name:PORTERFIELD, CHESSICA (PT)
Entity type:Individual
Prefix:MRS
First Name:CHESSICA
Middle Name:
Last Name:PORTERFIELD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:778 HIGHWAY 46 N
Mailing Address - Street 2:
Mailing Address - City:SHERIDAN
Mailing Address - State:AR
Mailing Address - Zip Code:72150-6932
Mailing Address - Country:US
Mailing Address - Phone:501-326-7929
Mailing Address - Fax:
Practice Address - Street 1:400 N ROCK ST
Practice Address - Street 2:
Practice Address - City:SHERIDAN
Practice Address - State:AR
Practice Address - Zip Code:72150-2228
Practice Address - Country:US
Practice Address - Phone:870-942-3135
Practice Address - Fax:870-942-2931
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-05
Last Update Date:2021-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPT2585225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist