Provider Demographics
NPI:1235685702
Name:FREY, FAITH TAGGART (PT)
Entity type:Individual
Prefix:
First Name:FAITH
Middle Name:TAGGART
Last Name:FREY
Suffix:
Gender:
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 LAKELAND DR
Mailing Address - Street 2:
Mailing Address - City:CABOT
Mailing Address - State:AR
Mailing Address - Zip Code:72023-7827
Mailing Address - Country:US
Mailing Address - Phone:501-765-3736
Mailing Address - Fax:
Practice Address - Street 1:3924 NEELY RD
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72206-7434
Practice Address - Country:US
Practice Address - Phone:501-234-2436
Practice Address - Fax:501-490-0541
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-25
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPT3937225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist