Organization
KIDSPIRATION PEDIATRIC THERAPY SERVICES
Active
Parent organization
KIDSPIRATION PEDIATRIC THERAPY SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
KIDSPIRATION PEDIATRIC THERAPY SERVICES
Authorized official
LEAH COLEMAN (OWNER/DIRECTOR)
(870) 424-4021
Entity
Organization
Contact information
Practice address
710 BRADLEY DR., MOUNTAIN HOME, AR 72653
(870) 424-4021
(870) 424-4112
Mailing address
P.O. BOX 2533, MOUNTAIN HOME, AR 72653
(870) 424-4021
(870) 424-4112
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187775724
—
AR
Enumeration date
01/29/2019
Last updated
01/29/2019
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