Provider Demographics
NPI:1437617370
Name:SPEARS, DANIEL VOY (PT, DPT)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:VOY
Last Name:SPEARS
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1189 SANDALWOOD PL UNIT G
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72762-1826
Mailing Address - Country:US
Mailing Address - Phone:816-289-5825
Mailing Address - Fax:
Practice Address - Street 1:101 MORGAN KEEGAN DR STE B
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72202-2267
Practice Address - Country:US
Practice Address - Phone:866-251-1227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-11
Last Update Date:2019-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR4139225100000X
OK5596225100000X
MO2016042475225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist