# MAGNOLIA TREE THERAPY SERVICES LLC

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

## Provider details

- **NPI number:** 1497572606
- **Authorized official:** MAKENNA SEATS OTD, OTR/L (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (870) 656-9933

## Contact information

- **Practice address:** 81 DEVELOPMENT DR, YELLVILLE, AR 72687-7039
- **Practice address phone:** (870) 232-2214
- **Mailing address:** 2397 COUNTY ROAD 25, MOUNTAIN HOME, AR 72653-7282
- **Mailing address phone:** (870) 656-9933

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 09/20/2024
- **Last updated:** 09/20/2024
