Individual
KIMBERLIE RANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
582 HIGHWAY 365 STE 365, MAYFLOWER, AR 72106-9524
(501) 470-3500
(501) 470-3502
Mailing address
582 HIGHWAY 365 STE 3, MAYFLOWER, AR 72106-9525
(501) 470-3500
(501) 470-3502
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4595
AR
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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