Provider Demographics
NPI:1962552760
Name:GUFFEY, JAMES STEPHEN (PTED D)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:STEPHEN
Last Name:GUFFEY
Suffix:
Gender:M
Credentials:PTED D
Other - Prefix:
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Mailing Address - Street 1:7500 DOLLARWAY RD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:WHITE HALL
Mailing Address - State:AR
Mailing Address - Zip Code:71602
Mailing Address - Country:US
Mailing Address - Phone:870-247-9900
Mailing Address - Fax:870-247-9922
Practice Address - Street 1:7500 DOLLARWAY RD
Practice Address - Street 2:STE 107
Practice Address - City:WHITE HALL
Practice Address - State:AR
Practice Address - Zip Code:71602
Practice Address - Country:US
Practice Address - Phone:870-247-9900
Practice Address - Fax:870-247-9922
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2011-04-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ARPT 483225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5C930Medicare ID - Type UnspecifiedGROUP PROVIDER #
AR5S347Medicare ID - Type UnspecifiedINDIVIDUAL PROVIDER #