Organization
SKILLED THERAPY PROVIDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACKIE M BRACEY (ADMINISTRATOR)
(501) 358-6013
Entity
Organization
Contact information
Practice address
8030 COUNTS MASSIE RD STE A, MAUMELLE, AR 72113-6720
(501) 358-6013
(501) 358-6013
Mailing address
8030 COUNTS MASSIE RD STE A, MAUMELLE, AR 72113-6720
(501) 358-6013
(501) 358-6013
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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