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Organization

PERSONAL THERAPY GROUP, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SARAH ELLEN BLAGG MS, CCC-SLP (SLP/OWNER)
(870) 404-5870
Entity
Organization

Contact information

Practice address
100 E 9TH ST, MOUNTAIN HOME, AR 72653
(870) 404-5870
(870) 424-3208
Mailing address
PO BOX 2518, MOUNTAIN HOME, AR 72654-2518
(870) 404-5870
(870) 424-3208

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
235Z00000X
Speech-Language Pathologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
177740742
AR
Enumeration date
07/06/2009
Last updated
10/22/2025
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