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General NPI Number Information
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NPI Number | 1992923429
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Entity Type | Organization
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Legal Business Name | CROWLEY'S RIDGE THERAPIES, INC
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Dates
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Enumeration Date | 04/22/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 661 HIGHWAY 64B
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City | WYNNE
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State | AR
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Zip | 72396-8506
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Country | US
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Telephone | 870-208-9572
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Fax | 870-208-8481
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Provider Business Mailing Address
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Address Line | 661 HIGHWAY 64B
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City | WYNNE
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State | AR
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Zip | 72396-8506
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Country | US
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Telephone | 870-208-9572
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Fax | 870-208-8481
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Authorized Official
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Title or Position | PRESIDENT
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Name | CECELIA M KILLOUGH
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Credential | PT
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Telephone | 870-208-9572
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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