Provider Demographics
NPI:1669595153
Name:LYONS, DANNY R (RPT)
Entity type:Individual
Prefix:MR
First Name:DANNY
Middle Name:R
Last Name:LYONS
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 N CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:ATKINS
Mailing Address - State:AR
Mailing Address - Zip Code:72823-4149
Mailing Address - Country:US
Mailing Address - Phone:479-641-5500
Mailing Address - Fax:479-641-5501
Practice Address - Street 1:408 N CHURCH ST
Practice Address - Street 2:
Practice Address - City:ATKINS
Practice Address - State:AR
Practice Address - Zip Code:72823-4149
Practice Address - Country:US
Practice Address - Phone:479-641-5500
Practice Address - Fax:479-641-5501
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2025-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPT437225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARPT437OtherSTATE LICENSE NUMBER
AR116411721Medicaid