Search › Arkansas › 225100000X
Jesselee Mata, BSPT
NPI 1326589631 · on the registry since 2017
Practice
- Address
- 2 Caddo Crossing Dr
Glenwood, AR 71943 - Phone
- (870) 356-4954
- Fax
- (870) 356-4956
- Organisation at this address
- Comprehab, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-03-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas