Organization
KINETIC WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA ANN DURR DPT (OFFICER/MANAGER)
(618) 960-7263
Entity
Organization
Contact information
Practice address
909 W MAIN ST, GREEN FOREST, AR 72638-2316
(618) 960-7163
(870) 341-6282
Mailing address
1034 COUNTY ROAD 107, EUREKA SPRINGS, AR 72632-9476
(618) 960-7163
(870) 341-6282
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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