Healthcare Provider Details

I. General information

NPI: 1366388928
Provider Name (Legal Business Name): KENZIE LAYNE FRIDAY PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 PIPER ST STE C
HOT SPRINGS AR
71901-8387
US

IV. Provider business mailing address

117 PIPER ST STE C
HOT SPRINGS AR
71901-8387
US

V. Phone/Fax

Practice location:
  • Phone: 501-463-9057
  • Fax: 866-634-2934
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT5703
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: