| Provider / Organization | NPI | Date Certified |
|---|---|---|
| DESTINY DRAPER | 1356092852 | 2022-01-15 |
Destiny Draper is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1356092852. Registration indicates Destiny Draper is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Physical Medicine & Rehabilitation (Physical Medicine & Rehabilitation, ) (Specialist Network, ) (Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians)
| Entity Type | Individual |
| Provider Name | Destiny Draper PTA |
| Practice Office Address | 201 SW 14TH ST STE 205 BENTONVILLE, AR US |
| Practice Office Telephone | 4192942465 |
| Mailing Address | 718 S 24TH ST ROGERS, AR 727584053 US |
| Code | Practice | License No State |
|---|---|---|
| 208100000X PRIMARY | Allopathic & Osteopathic Physicians Physical Medicine & Rehabilitation Physical Medicine & Rehabilitation Specialist Network Physical Medicine & Rehabilitation Allopathic & Osteopathic Physicians | 4695
AR |