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Amanda Suson Blair, DPT,
Military Health Care Provider in Marshall, Arkansas
NPI 1295986388

Amanda Suson Blair is a Military Health Care Provider based in Marshall, AR. Amanda Suson Blair practices in Marshall, AR and has the professional credentials of DPT,. The NPI Number for Amanda Suson Blair is 1295986388 and holds a License No. PT 3102 (Arkansas).

The current practice location address for Amanda Suson Blair is 1458 Hensley Farm Rd, Marshall, AR and can be reached out via phone at 870-448-6232.

Location: 1458 Hensley Farm Rd, Marshall, AR, 72650-8672
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295986388
Provider Name
Amanda Suson Blair
Credential
DPT,
Provider Entity Type
Individual
Gender
Female
Address
1458 Hensley Farm Rd, Marshall, AR, 72650-8672
Phone Number
870-448-6232
Fax Number
Provider Enumeration Date
10/07/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1458 Hensley Farm Rd
City
Marshall
State
Arkansas
Zip
72650-8672
Phone Number
870-448-6232
Fax Number
person
Provider Business Mailing Address Details
Address
1458 Hensley Farm Rd
City
Marshall
State
Arkansas
Zip
72650-8672
Phone Number
870-448-6232
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
PT 3102 (Arkansas)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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