Mr. RUSTON CRAIG BAUER
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1639074768- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 115 SKYLINE DR STE A, RUSSELLVILLE, AR, 728023310
- Phone
- (479) 967-5155
- Fax
- (479) 967-5141
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: AR #2606