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 11 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