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Organization
KIDS UNLIMITED LEARNING ACADEMY OF FT. SMITH
Active
Organization
KIDS UNLIMITED LEARNING ACADEMY OF FT. SMITH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY DECKER MCD, CCC-SLP (CEO)
(870) 761-6680
Entity
Organization
Contact information
Practice address
103 CHOCTAW ST, HACKETT, AR 72937-2904
(870) 761-6680
Mailing address
1901 PINE VALLEY LN, JONESBORO, AR 72404-8435
(870) 761-6680
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
NULL
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200895742
—
AR
Enumeration date
06/18/2013
Last updated
08/14/2014
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