Basic Information
| Provider Information | |||||||||
| NPI: | 1013103647 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ATCHLEY | ||||||||
| FirstName: | JOYCE | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | PTA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 317 POLK 46 | ||||||||
| Address2: | |||||||||
| City: | MENA | ||||||||
| State: | AR | ||||||||
| PostalCode: | 719539545 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4793947074 | ||||||||
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| Practice Location | |||||||||
| Address1: | 100 9TH ST | ||||||||
| Address2: | |||||||||
| City: | MENA | ||||||||
| State: | AR | ||||||||
| PostalCode: | 719533026 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4793942617 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/18/2007 | ||||||||
| LastUpdateDate: | 09/18/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225200000X | PTA 2205 | AR | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant |
No ID Information.