Organization
KIDS UNLIMITED LEARNING ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY KELLER (OWNER)
(501) 268-3400
Entity
Organization
Contact information
Practice address
502 E RACE AVE, SEARCY, AR 72143-4417
(501) 268-3400
Mailing address
502 E RACE AVE, SEARCY, AR 72143-4417
(501) 268-3400
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200896742
—
AR
Enumeration date
04/01/2014
Last updated
02/16/2016
Update your record
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