Organization
KIDS UNLIMITED LEARNING ACADEMY OF SPRINGDALE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY KELLER MCD, CCC-SLP (CEO)
(870) 761-6680
Entity
Organization
Contact information
Practice address
1268 ELECTRIC AVE, SPRINGDALE, AR 72764-7498
(870) 932-3600
Mailing address
1900 STILLWATER DR, JONESBORO, AR 72404-9119
(870) 932-3600
(870) 932-3611
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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