Organization
ARKANSAS KIDS IN MOTION
Active
Other names
Kids In Motion
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARTELL TREADWELL PT, DPT (OWNER)
(870) 882-6921
Entity
Organization
Contact information
Practice address
2104 TRINITY OAKS DR, JONESBORO, AR 72401-3662
(870) 882-6921
Mailing address
2104 TRINITY OAKS DR, JONESBORO, AR 72401-3662
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT-3059
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245560606
INDIVIDUAL NPI
—
Enumeration date
12/27/2014
Last updated
12/29/2014
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