Organization
ARKANSAS REGIONAL THERAPY SERVICES, LLC
Active
Other names
Arkansas Regional Therapy Services (with no LLC)
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY C BROWN MS CCC-SLP (OWNER)
(479) 283-4637
Entity
Organization
Contact information
Practice address
1875 MAIN DR, FAYETTEVILLE, AR 72704-5220
(479) 283-4637
Mailing address
1875 MAIN DR, FAYETTEVILLE, AR 72704-5220
(479) 283-4637
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2109
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178988742
—
AR
01
—
5G158
BCBS
AR
Enumeration date
04/13/2009
Last updated
10/28/2023
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