OrganizationArkansas Physical Health & RehabChiropractorChiropractic ProvidersPractice Address1583 Main Dr, Fayetteville, AR 72704-5214(479) 443-0800PECOS EnrollmentBased on the most recent information from CMS, provider Arkansas Physical Health & Rehab does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1457423766Provider TypeOrganizationFull NameArkansas Physical Health & RehabSubpartNoEnumeration Date11/14/2006Last Updated8/22/2020Contact InformationPractice LocationPractice Address1583 Main Dr, Fayetteville, AR 72704-5214Phone(479) 443-0800Fax(479) 443-5538Mailing LocationMailing Address1583 Main Dr, Fayetteville, AR 72704-5214Phone(479) 443-0800Fax(479) 443-5538Authorized OfficialNameMasters, Blair B (Doctor)Phone(479) 443-0800Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicense1108ArkansasProvider IdentifiersIDDescriptionIssuerID5F643DescriptionOtherIssuerAR BLUE CROSS BUE SHIELDArkansas