Provider Demographics
NPI:1518314368
Name:ARKANSAS THERAPY OUTREACH
Entity type:Organization
Organization Name:ARKANSAS THERAPY OUTREACH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:TAYLOR
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC SLP
Authorized Official - Phone:501-520-8220
Mailing Address - Street 1:22461 I 30
Mailing Address - Street 2:SUITE 1100A
Mailing Address - City:BRYANT
Mailing Address - State:AR
Mailing Address - Zip Code:72022-2364
Mailing Address - Country:US
Mailing Address - Phone:501-481-8930
Mailing Address - Fax:501-481-8914
Practice Address - Street 1:600 MAIN ST
Practice Address - Street 2:SUITE P
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-4905
Practice Address - Country:US
Practice Address - Phone:501-463-9533
Practice Address - Fax:501-463-9536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-23
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty