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

Mr. Charles Stacy Witcher, LPTA

Individual provider Physical Therapy Assistant · NPI 1477703478

Mr. Charles Stacy Witcher, LPTA is a Physical Therapy Assistant in Walnut Ridge, Arkansas. Licensed in Arkansas. Registered with an NPI since 2008.

Licensed in
AR
In the registry since
2008

Practice location Address checks out

417 SW Third St
Walnut Ridge, AR 72476-2310
Phone: (870) 886-2443
Fax: (870) 886-3289
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 PTA1351 (AR)

Record details

NPI number1477703478
Entity typeIndividual (Type 1)
GenderMale
Credentials LPTA
Sole proprietorNo
NPI enumeratedSeptember 25, 2008
Last updated in NPPESSeptember 25, 2008

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