Kelsie Wideman, in Fayetteville, AR - Physical Therapist

Kelsie Wideman, is a Physical Therapist based in Fayetteville, Arkansas. Kelsie Wideman is licensed to practice in Arkansas (license number PT4030) and her current practice location is 2474 E Joyce Blvd, Ste 2, Fayetteville, Arkansas. She can be reached at her office (for appointments etc.) via phone at (479) 521-8326.

NPI number for Kelsie Wideman is 1942676010 and her current mailing address is 2474 E Joyce Blvd, Ste 2, Fayetteville, Arkansas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942676010.

Contact Information

	Kelsie Wideman,
	2474 E Joyce Blvd, Ste 2, Fayetteville, AR 72703-4519
	(479) 521-8326
	(479) 521-5439

Healthcare Provider's Profile

Full Name	Kelsie Wideman
Gender	Female
Speciality	Physical Therapist
Location	2474 E Joyce Blvd, Fayetteville, Arkansas
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1942676010
Provider Enumeration Date: 08/12/2015
Last Update Date: 08/12/2015

Medical Identifiers

Medical identifiers for Kelsie Wideman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942676010	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT4030 (Arkansas)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelsie Wideman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kelsie Wideman, 2474 E Joyce Blvd, Ste 2, Fayetteville, AR 72703-4519 Ph: (479) 521-8326	Kelsie Wideman, 2474 E Joyce Blvd, Ste 2, Fayetteville, AR 72703-4519 Ph: (479) 521-8326

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Physical Therapist in Fayetteville, AR

Karen Hairston, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2474 E Joyce Blvd, Suite 2, Fayetteville, AR 72703 Phone: 479-521-8326 Fax: 479-521-5439
Fernando Castillo, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3383 N Mana Ct Ste 201, Fayetteville, AR 72703 Phone: 479-571-6780
Kymbrly Hannah, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2474 E Joyce Blvd, Suite 2, Fayetteville, AR 72703 Phone: 479-521-8326 Fax: 479-521-5439
Ms. Heather Kristine Vaughn, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1125 N College Ave, Fayetteville, AR 72703 Phone: 479-713-8630 Fax: 479-713-8639
Megan Landry Wilson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1923 E Joyce Blvd, Fayetteville, AR 72703 Phone: 479-442-7220
Travis Alexander, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3399 Black Forest Dr Ste 3, Fayetteville, AR 72704 Phone: 479-435-6712 Fax: 844-317-0394
Winston Tyler Futrell, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2668 E Citizens Dr Ste 5, Fayetteville, AR 72703 Phone: 479-595-0711

Kelsie Wideman, - Physical Therapist in Fayetteville, AR