Healthcare Provider Details

I. General information

NPI: 1528374543
Provider Name (Legal Business Name): NEXT STEP THERAPY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2010
Last Update Date: 08/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3690 HIGHWAY 49
LEXA AR
72355-8264
US

IV. Provider business mailing address

3690 HIGHWAY 49
LEXA AR
72355-8264
US

V. Phone/Fax

Practice location:
  • Phone: 870-816-5126
  • Fax: 870-572-5132
Mailing address:
  • Phone: 870-816-5126
  • Fax: 870-572-5132

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State

VIII. Authorized Official

Name: MRS. JENNIFER M MORRIS
Title or Position: OWNER
Credential: LPTA
Phone: 870-816-5126