Provider Demographics
NPI:1609106061
Name:HAMPTON, BETTY E (DPT)
Entity type:Individual
Prefix:
First Name:BETTY
Middle Name:E
Last Name:HAMPTON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:BETTY
Other - Middle Name:
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11901 PLEASANT RIDGE RD
Mailing Address - Street 2:APT 724
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223-2399
Mailing Address - Country:US
Mailing Address - Phone:870-535-0010
Mailing Address - Fax:870-535-1116
Practice Address - Street 1:11901 PLEASANT RIDGE RD
Practice Address - Street 2:APT 724
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72223-2399
Practice Address - Country:US
Practice Address - Phone:870-535-0010
Practice Address - Fax:870-535-1116
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-07
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR3208225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARRXBAN 2653733OtherBLUE CROSS BLUE SHIELD