Organization
SHINE THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REAGAN HARDAGE MS, OTR/L (CO-OWNER)
(870) 464-7474
Entity
Organization
Contact information
Practice address
13131 HIGHWAY 84, BISMARCK, AR 71929-6406
(870) 464-7474
Mailing address
13131 HIGHWAY 84, BISMARCK, AR 71929-6406
(870) 464-7474
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
238564721
—
AR
Enumeration date
01/07/2025
Last updated
01/07/2025
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