Individual
KAYLEE CHANDRA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
5604 ELLSWORTH RD, FORT SMITH, AR 72903-3224
(479) 322-0546
Mailing address
104 N DAVIS ST, LAVACA, AR 72941-2606
(479) 561-1805
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AR
224Z00000X
Occupational Therapy Assistant
Primary
OT-A2234
AR
Other
Enumeration date
07/02/2024
Last updated
08/06/2026
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