Healthcare Provider Details

I. General information

NPI: 1295019321
Provider Name (Legal Business Name): PRECISION ONE THERAPY & ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2011
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3286 W HILLSBORO ST
EL DORADO AR
71730-6734
US

IV. Provider business mailing address

3286 W HILLSBORO ST
EL DORADO AR
71730-6734
US

V. Phone/Fax

Practice location:
  • Phone: 870-725-2497
  • Fax: 870-725-2517
Mailing address:
  • Phone: 870-725-2497
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License NumberOTR1447
License Number StateAR

VIII. Authorized Official

Name: KENDRA BRUMLEY
Title or Position: OWNER
Credential: PT
Phone: 870-725-2497