Healthcare Provider Details

I. General information

NPI: 1801716873
Provider Name (Legal Business Name): CRAINE THERAPY LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1699 RED WOLF BLVD STE H
JONESBORO AR
72401-5453
US

IV. Provider business mailing address

3312 HANNAH HILL CV
JONESBORO AR
72404-7911
US

V. Phone/Fax

Practice location:
  • Phone: 870-336-0021
  • Fax:
Mailing address:
  • Phone: 870-897-1756
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State

VIII. Authorized Official

Name: KYLE TOLEDO
Title or Position: PTA
Credential:
Phone: 870-897-1756