Provider Demographics
NPI:1144729906
Name:NEIGHBORS, DANNY NICHOLAS (PTA)
Entity type:Individual
Prefix:MR
First Name:DANNY
Middle Name:NICHOLAS
Last Name:NEIGHBORS
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 WESTPARK DR
Mailing Address - Street 2:
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72712-4173
Mailing Address - Country:US
Mailing Address - Phone:479-250-4014
Mailing Address - Fax:479-250-4015
Practice Address - Street 1:1002 WESTPARK DR
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-4173
Practice Address - Country:US
Practice Address - Phone:479-250-4014
Practice Address - Fax:479-250-4015
Is Sole Proprietor?:No
Enumeration Date:2018-02-07
Last Update Date:2018-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR3800225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant