Provider Demographics
NPI:1538791777
Name:VARNELL, CHELSI D (DPT)
Entity type:Individual
Prefix:
First Name:CHELSI
Middle Name:D
Last Name:VARNELL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:CHELSI
Other - Middle Name:D
Other - Last Name:SIEBENMORGEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:3016 W MAIN ST STE 200
Mailing Address - Street 2:
Mailing Address - City:RUSSELLVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72801-2453
Mailing Address - Country:US
Mailing Address - Phone:479-967-9657
Mailing Address - Fax:479-967-9658
Practice Address - Street 1:3016 W MAIN ST STE 200
Practice Address - Street 2:
Practice Address - City:RUSSELLVILLE
Practice Address - State:AR
Practice Address - Zip Code:72801-2453
Practice Address - Country:US
Practice Address - Phone:479-967-9657
Practice Address - Fax:479-967-9658
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-05
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPT4771225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist