Kickstart Pediatric Therapy LLC

NPI #1679969216 in Conway, Arkansas

Provider Information

NPI Number: 1679969216
Entity Type: Organization
Organization Name: Kickstart Pediatric Therapy LLC
Primary Specialty: Physical Therapist
Enumeration Date: Apr 10, 2015
Last Updated: Apr 10, 2015

Practice Location

Address: 2920 GLOHAVEN DR
City: Conway
State: Arkansas
ZIP Code: 72034-9656
Phone: (501) 733-6929

Authorized Official

Name: DEEANN SMITH, MSPT
Title: PHYSICAL THERAPIST
Phone: (501) 472-4923

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X
Occupational Therapist	225X00000X
Speech-Language Pathologist	235Z00000X
Physical Therapist	225100000X	Primary

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