# KNM THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Therapy Monkey @ SCCH
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699412007
- **Authorized official:** JUSTIN KENNEMER OTR (OWNER)
- **Authorized official phone:** (817) 688-5865

## Contact information

- **Practice address:** 102 E HARDING ST, MORRILTON, AR 72110-2047
- **Practice address phone:** (501) 697-9881
- **Practice address fax:** (501) 475-1478
- **Mailing address:** 331 S BOLDEN HILL RD, GREENBRIER, AR 72058-9024
- **Mailing address phone:** (817) 688-5865
- **Mailing address fax:** (501) 475-1478

## 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 | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |
| 2355S0801X | Speech-Language Assistant | — | NULL | — |
| 2355S0801X | Speech-Language Assistant | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 05/17/2022
- **Last updated:** 05/27/2022