Search › Arkansas › 2255A2300X
Brett Waldon, MS, ATC, LAT, CSCS
NPI 1457408353 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1306 N El Paso Ave
Russellville, AR 72801 - Phone
- (479) 968-0642
- Fax
- (479) 498-6044
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-07-16
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