JOHN TYLER GOODPASTURE

RUSSELLVILLE, AR
NPI1174171607
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: AR  PT4710)
Enumeration Date2019-08-28
Last Update Date2019-08-28
Business Address
JOHN TYLER GOODPASTURE PT, DPT
2100 W MAIN ST
RUSSELLVILLE, AR 72801-2758
Phone number: 479-968-2525
Mailing Address
JOHN TYLER GOODPASTURE PT, DPT
2100 W MAIN ST
RUSSELLVILLE, AR 72801-2758
Phone number: 479-968-2525
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