Organization
CLEAR PASSAGE THERAPIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKI NICOLE WILKES (OFFICE MANAGER)
(870) 919-1978
Entity
Organization
Contact information
Practice address
1905 LINWOOD DR STE 2, PARAGOULD, AR 72450-6235
(870) 565-7201
(870) 359-6094
Mailing address
1301 N 22ND ST, PARAGOULD, AR 72450-2272
(870) 335-5784
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
225100000X
Physical Therapist
—
—
225700000X
Massage Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/20/2018
Last updated
06/11/2019
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