Miracle Kids Success Academy of Trumann

NPI #1063979243 in Trumann, Arkansas

Provider Information

NPI Number
1063979243
Entity Type
Organization
Organization Name
Miracle Kids Success Academy of Trumann
Primary Specialty
Physical Therapist
Enumeration Date
Feb 25, 2019
Last Updated
Feb 25, 2019

Practice Location

Address
1005 BALCOM LN
ZIP Code
72472-9502
Phone
(870) 761-6680

Authorized Official

Name
SHELLY KELLER, MCD, CCC-SLP
Title
CEO
Phone
(870) 761-6680

Specialties & Taxonomy Codes

Specialty
Occupational Therapist
Speech-Language Pathologist
Physical Therapist

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