Organization
KIDS SPOT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HILLARY BOYD DPT (OWNER, CLINICAL DIRECTOR)
(479) 259-2339
Entity
Organization
Contact information
Practice address
724 DEAVER ST, SPRINGDALE, AR 72764-5356
(479) 259-2339
(479) 439-8600
Mailing address
724 DEAVER ST, SPRINGDALE, AR 72764-5356
(479) 259-2339
(479) 439-8600
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SP#1904
AR
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180643742
—
AR
Enumeration date
02/16/2010
Last updated
03/04/2024
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