Provider Demographics
NPI:1205113586
Name:LUPKEY, DANYELLE (PT)
Entity type:Individual
Prefix:
First Name:DANYELLE
Middle Name:
Last Name:LUPKEY
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 1:64 COLT LOOP
Mailing Address - Street 2:
Mailing Address - City:GREENBRIER
Mailing Address - State:AR
Mailing Address - Zip Code:72058-9197
Mailing Address - Country:US
Mailing Address - Phone:501-327-1730
Mailing Address - Fax:501-327-2340
Practice Address - Street 1:2425 DAVE WARD DR STE 103
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72034-8679
Practice Address - Country:US
Practice Address - Phone:501-327-1730
Practice Address - Fax:501-327-2340
Is Sole Proprietor?:No
Enumeration Date:2011-11-14
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1289376225100000X
ARPT 2555225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist