Provider Demographics
NPI:1285496323
Name:FRANCIS, VICTORIA LYNN (MMT, MMP)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:LYNN
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:MMT, MMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1106 HIGHWAY 62 E STE 3
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN HOME
Mailing Address - State:AR
Mailing Address - Zip Code:72653-3318
Mailing Address - Country:US
Mailing Address - Phone:870-405-5167
Mailing Address - Fax:
Practice Address - Street 1:1106 HIGHWAY 62 E STE 3
Practice Address - Street 2:
Practice Address - City:MOUNTAIN HOME
Practice Address - State:AR
Practice Address - Zip Code:72653-3318
Practice Address - Country:US
Practice Address - Phone:870-232-1911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-24
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR8184172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist