# KIDS UNLIMITED LEARNING ACADEMY OF FT. SMITH

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

## Provider details

- **NPI number:** 1417396011
- **Authorized official:** SHELLY DECKER MCD, CCC-SLP (CEO)
- **Authorized official phone:** (870) 761-6680

## Contact information

- **Practice address:** 103 CHOCTAW ST, HACKETT, AR 72937-2904
- **Practice address phone:** (870) 761-6680
- **Mailing address:** 1901 PINE VALLEY LN, JONESBORO, AR 72404-8435
- **Mailing address phone:** (870) 761-6680

## Taxonomy

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

## Other

- **Enumeration date:** 06/18/2013
- **Last updated:** 08/14/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200895742 | — | AR |