Individual
KELLY HARGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1016 N JACKSON, MAGNOLIA, AR 71753-2448
(870) 234-7604
(870) 234-6669
Mailing address
1016 N JACKSON, MAGNOLIA, AR 71753-2448
(318) 514-9022
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4226
AR
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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