| All About Therapy, Llc | |
|
902 Grant Ave Prairie Grove AR 72753-8417 | |
| (479) 283-7899 | |
| Not Available |
| Full Name | All About Therapy, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 902 Grant Ave, Prairie Grove, Arkansas |
| Authorized Official Name and Position | Sara Ruckenbrod (OWNER) |
| Authorized Official Contact | 4792837899 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| All About Therapy, Llc 902 Grant Ave Prairie Grove AR 72753-8417 Ph: (479) 283-7899 | All About Therapy, Llc 902 Grant Ave Prairie Grove AR 72753-8417 Ph: (479) 283-7899 |
| NPI Number | 1548807944 |
|---|---|
| Provider Enumeration Date | 12/04/2019 |
| Last Update Date | 12/04/2019 |
| Medicare PECOS PAC ID | 9739505280 |
|---|---|
| Medicare Enrollment ID | O20200814001816 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548807944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Sara E Ruckenbrod |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356774970 PECOS PAC ID: 9638596323 Enrollment ID: I20200826002547 |
| Provider Name | Jennifer Hutchins |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1437206182 PECOS PAC ID: 0648697375 Enrollment ID: I20200826003015 |
| Provider Name | Jennifer L Hallam |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285001487 PECOS PAC ID: 5193142883 Enrollment ID: I20200827001700 |
| Provider Name | Ralph W Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538465182 PECOS PAC ID: 9032537287 Enrollment ID: I20200921000817 |
| Provider Name | Emma J Kinsey |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073128526 PECOS PAC ID: 2567879497 Enrollment ID: I20210322000424 |
| Provider Name | Amber M Morgan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639768252 PECOS PAC ID: 8921415399 Enrollment ID: I20210331001534 |
| Provider Name | Janice Mccullough |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1487252706 PECOS PAC ID: 9436568425 Enrollment ID: I20210504000049 |
| Provider Name | Barbara Malone |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164693941 PECOS PAC ID: 9133291446 Enrollment ID: I20210528000825 |
| Provider Name | Sydney Brooks |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1417914482 PECOS PAC ID: 2264833516 Enrollment ID: I20210624002170 |
| Provider Name | Taylor Guthrie |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417316597 PECOS PAC ID: 5890193882 Enrollment ID: I20211005002688 |
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