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General NPI Number Information
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NPI Number | 1801716873
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Entity Type | Organization
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Legal Business Name | CRAINE THERAPY LTD
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Dates
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Enumeration Date | 07/20/2026
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Last Update Date | 07/23/2026
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Provider Practice Location Address
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Address Line | 1699 RED WOLF BLVD STE H
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City | JONESBORO
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State | AR
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Zip | 72401-5453
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Country | US
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Telephone | 870-336-0021
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Fax |
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Provider Business Mailing Address
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Address Line | 3312 HANNAH HILL CV
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City | JONESBORO
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State | AR
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Zip | 72404-7911
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Country | US
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Telephone | 870-897-1756
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Fax |
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Authorized Official
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Title or Position | PTA
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Name | KYLE TOLEDO
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Credential |
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Telephone | 870-897-1756
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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