TRISTAN NATHANIEL TIARKS

RUSSELLVILLE, AR
NPI1619284767
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: AR  3288)
Enumeration Date2010-09-10
Last Update Date2010-09-10
Business Address
-- TRISTAN NATHANIEL TIARKS PT, DPT
306 E 11TH ST
RUSSELLVILLE, AR 72801-6156
Phone number: 479-967-1178
Mailing Address
-- TRISTAN NATHANIEL TIARKS PT, DPT
1580 EDGESTONE CIR
CONWAY, AR 72034-8717
Phone number: 479-619-5514
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