Organization
KNM THERAPY LLC
Active
Other names
Therapy Monkey @ SCCH
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN KENNEMER OTR (OWNER)
(817) 688-5865
Entity
Organization
Contact information
Practice address
102 E HARDING ST, MORRILTON, AR 72110-2047
(501) 697-9881
(501) 475-1478
Mailing address
331 S BOLDEN HILL RD, GREENBRIER, AR 72058-9024
(817) 688-5865
(501) 475-1478
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
Primary
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
05/17/2022
Last updated
05/27/2022
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