Healthcare Provider Details

I. General information

NPI: 1063354041
Provider Name (Legal Business Name): INSTITUTE FOR THE CREATIVE ARTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2026
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 RIVERFRONT DR
FORT SMITH AR
72901-3087
US

IV. Provider business mailing address

1101 RIVERFRONT DR
FORT SMITH AR
72901-3087
US

V. Phone/Fax

Practice location:
  • Phone: 479-434-2114
  • Fax: 479-431-2204
Mailing address:
  • Phone: 479-434-2114
  • Fax: 479-431-2204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: MARSHA CROW
Title or Position: BUSINESS MANAGER
Credential:
Phone: 479-434-2114