GERREN FRAZIER NPI 1265646046

NPI Information

  • NPI: 1265646046
  • Provider Name: GERREN FRAZIER
  • Classification: Recreation Therapist - 225800000X
  • Entity Type: Individual
  • Address: 20400 COLONEL GLENN RD
    LITTLE ROCK, AR
    ZIP 72210
  • Phone: (501) 821-5500

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NPI Details

Gerren Frazier is a recreation therapist in Little Rock, AR. The provider is a recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. Gerren Frazier NPI is 1265646046. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

20400 COLONEL GLENN RD
LITTLE ROCK, AR
ZIP 72210-323
Phone: (501) 821-5500

The enumeration date for this NPI number is 5/10/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225800000XRecreation TherapistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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