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

Hannah Mantooth

Individual provider Physical Therapy Assistant · NPI 1790105302

Hannah Mantooth is a Physical Therapy Assistant in Fayetteville, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2014

Practice location Address checks out

2403 Main Dr Ste 5
Fayetteville, AR 72704-5275
Phone: (479) 966-4883
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 2461 (AR)

Record details

NPI number1790105302
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 22, 2014
Last updated in NPPESApril 22, 2014

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