Organization

Kidsource Therapy Group, Llc

Rehabilitation Clinic/Center in Hot Springs, AR(View on Map)

Legal Business Name

Kidsource Therapy Group, Llc

NPI Number

1609235126

NPI Type

Organization

Enumeration Date

02/11/2016

Specialties

(Taxonomies)

Code

261QR0400X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

17706 I 30 STE 3
610 W GRAND AVE

City

Benton
Hot Springs

State

AR
AR

Postal Code

72019-2930
71901-3922

Country

US
US

Telephone Number

(501) 315-4414
(501) 580-3124

Authorized Official

Name

Penny Jester

Title or Position

EXECUTIVE DIRECTOR

Telephone Number

(501) 315-4414

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/11/2016

Provider Address

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