Healthcare Provider Details

I. General information

NPI: 1518153907
Provider Name (Legal Business Name): HOT SPRINGS PHYSICAL THERAPY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2007
Last Update Date: 09/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 W GRAND AVE
HOT SPRINGS AR
71913-3530
US

IV. Provider business mailing address

715 W GRAND AVE
HOT SPRINGS AR
71913-3530
US

V. Phone/Fax

Practice location:
  • Phone: 501-623-9070
  • Fax: 501-623-8426
Mailing address:
  • Phone: 501-623-9070
  • Fax: 501-623-8426

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number288
License Number StateAR

VIII. Authorized Official

Name: KIM BAKER
Title or Position: OFFICE MANAGER
Credential:
Phone: 501-623-9070