Healthcare Provider Details
I. General information
NPI: 1740830934
Provider Name (Legal Business Name): H&H THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/19/2019
Last Update Date: 09/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7 ASHMORE DR
MAYFLOWER AR
72106-8802
US
IV. Provider business mailing address
17391 HIGHWAY 65 S
DAMASCUS AR
72039-8913
US
V. Phone/Fax
- Phone: 501-514-4328
- Fax:
- Phone: 501-514-4328
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
MARCUS
J
HUTTO
Title or Position: CO-OWNER
Credential: MS, OTR/L
Phone: 501-514-4328