Healthcare Provider Details

I. General information

NPI: 1386140374
Provider Name (Legal Business Name): HEALING HANDS PHYSICAL THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2018
Last Update Date: 01/24/2023
Certification Date: 01/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3351 MALVERN RD
HOT SPRINGS AR
71901-6753
US

IV. Provider business mailing address

104 LEGACY LN
HOT SPRINGS AR
71901-8754
US

V. Phone/Fax

Practice location:
  • Phone: 501-701-8617
  • Fax: 501-762-0399
Mailing address:
  • Phone: 501-701-8617
  • Fax: 501-762-0399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MARY JANE B SY
Title or Position: OWNER
Credential:
Phone: 501-701-8617