# KIDSPIRATION OUTPATIENT THERAPY SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164726584
- **Authorized official:** DEBBIE COLEMAN (OWNER)
- **Authorized official phone:** (870) 424-4021

## Contact information

- **Practice address:** 1310 BRADLEY DR, MOUNTAIN HOME, AR 72653-2730
- **Practice address phone:** (870) 424-4021
- **Practice address fax:** (870) 424-4112
- **Mailing address:** 1310 BRADLEY DRIVE, MTN HOME, AR 72654
- **Mailing address phone:** (870) 424-4021
- **Mailing address fax:** (870) 424-4112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 224Z00000X | Occupational Therapy Assistant | — | NULL | — |
| 224Z00000X | Occupational Therapy Assistant | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225200000X | Physical Therapy Assistant | — | NULL | — |
| 225200000X | Physical Therapy Assistant | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | Yes |
| 235Z00000X | Speech-Language Pathologist | — | — | Yes |

## Other

- **Enumeration date:** 12/28/2010
- **Last updated:** 10/02/2014