Healthcare Provider Details

I. General information

NPI: 1518771872
Provider Name (Legal Business Name): AKIN AIR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2025
Last Update Date: 05/12/2025
Certification Date: 05/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1960 HIGHWAY 425 N
MONTICELLO AR
71655-8895
US

IV. Provider business mailing address

1960 HIGHWAY 425 N
MONTICELLO AR
71655-8895
US

V. Phone/Fax

Practice location:
  • Phone: 870-723-3711
  • Fax:
Mailing address:
  • Phone: 870-723-3711
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0401X
TaxonomyComprehensive Outpatient Rehabilitation Facility (CORF)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: JOHN AKIN
Title or Position: PRINCIPAL
Credential:
Phone: 870-723-3711