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

Kelsie Wideman

Individual provider Physical Therapist · NPI 1942676010

Kelsie Wideman is a Physical Therapist in Fayetteville, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2015

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 Therapist (primary) Taxonomy 225100000X · Licence PT4030 (AR)

Record details

NPI number1942676010
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 12, 2015
Last updated in NPPESAugust 12, 2015
Mailing address2474 E Joyce Blvd, Ste 2, Fayetteville, AR 72703-4519

Other providers in Fayetteville