Healthcare Provider Details

I. General information

NPI: 1508258591
Provider Name (Legal Business Name): KAYLA R HULSEY DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2015
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 W WALNUT ST STE 12
ROGERS AR
72756-3587
US

IV. Provider business mailing address

2301 W WALNUT ST
ROGERS AR
72756-3586
US

V. Phone/Fax

Practice location:
  • Phone: 479-372-6131
  • Fax: 479-372-6093
Mailing address:
  • Phone: 479-372-6131
  • Fax: 479-372-6093

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT4505
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: