Physical Therapist
HEIDI BONIFACIO
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1629183439 · enumerated 2006-08-20 · record updated 2007-07-08. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 1145 WILLOW ST, BLYTHEVILLE, AR, 72315-1932 Google Maps Apple Maps OpenStreetMap
- Practice location 4407 AMARILLO ST, BLYTHEVILLE, AR, 72315-5702 (870) 532-2229 Fax (870) 532-8237 Google Maps Apple Maps OpenStreetMap
Specialties
- Physical Therapist 225100000X · Primary · License PT 2886 AR
In this directory
Locations and evidence
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Practice location
BLYTHEVILLE, AR, 723155702
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.