Healthcare Provider Details

I. General information

NPI: 1578480430
Provider Name (Legal Business Name): BODY & SOUL THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1105 SHIPLEY ST
SPRINGDALE AR
72764-5453
US

IV. Provider business mailing address

1105 SHIPLEY ST
SPRINGDALE AR
72764-5453
US

V. Phone/Fax

Practice location:
  • Phone: 479-381-4866
  • Fax:
Mailing address:
  • Phone: 479-381-4866
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. SHARA MANNING
Title or Position: OCCUPATIONAL THERAPIST/ OWNER
Credential: OTR/L, C-HYI
Phone: 479-381-4866