Individual
KYLIE BLANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22461 INTERSTATE 30 STE 301, BRYANT, AR 72022-2382
(501) 847-2555
Mailing address
22461 INTERSTATE 30 STE 301, BRYANT, AR 72022-2382
(501) 847-2555
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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