Most Relevant Information
Provider Data
| NPI Number: | 1003829094 |
| Provider Name: | MATTHEW DAVENPORT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/14/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1661 AIRPORT RD STE A
HOT SPRINGS
AR
719138184
Practice Location Phone/Fax
| Phone: | 5017678272 |
| Fax: |
Provider Mailing Location
210 CARL DR APT C10
HOT SPRINGS
AR
719136225
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |