Organization
GIDDY UP THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA K CRAINER (OWNER)
(479) 461-5251
Entity
Organization
Contact information
Practice address
4701 N CARBON CITY RD, OZARK, AR 72949
(479) 461-5251
Mailing address
PO BOX 62, PARIS, AR 72855-0062
(479) 461-5251
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
12/13/2019
Last updated
12/13/2019
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