Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Douglas Wade Cunningham

Individual provider Physical Therapy Assistant · NPI 1154679736

Douglas Wade Cunningham is a Physical Therapy Assistant in Fayetteville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2012.

Licensed in
AR
In the registry since
2012

Practice location Address checks out

2474 E Joyce Blvd Ste 2
Fayetteville, AR 72703-4519
Phone: (479) 521-8326
Fax: (479) 521-5439
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA 2668 (AR)

Record details

NPI number1154679736
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 29, 2012
Last updated in NPPESAugust 29, 2012

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