Provider Demographics
NPI:1891923116
Name:LOYD, CARAJEAN FRANCES (MPT)
Entity type:Individual
Prefix:MRS
First Name:CARAJEAN
Middle Name:FRANCES
Last Name:LOYD
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:MISS
Other - First Name:CARAJEAN
Other - Middle Name:FRANCES
Other - Last Name:WILSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3016 W. MAIN STREET
Mailing Address - Street 2:SUITE 200
Mailing Address - City:RUSSELLVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72801-2453
Mailing Address - Country:US
Mailing Address - Phone:479-967-9657
Mailing Address - Fax:479-967-9658
Practice Address - Street 1:3016 W MAIN ST
Practice Address - Street 2:SUITE 200
Practice Address - City:RUSSELLVILLE
Practice Address - State:AR
Practice Address - Zip Code:72801-2453
Practice Address - Country:US
Practice Address - Phone:479-967-9657
Practice Address - Fax:479-967-9658
Is Sole Proprietor?:No
Enumeration Date:2009-06-25
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPT3153225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist