Organization
ARKANSAS KIDS IN MOTION
Active
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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