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Contact Information

ELITE THERAPY AND WELLNESS
5552 US HWY 63
SUITE B
IMBODEN, AR72434
 Phone: 870-869-2770
 Fax: 870-869-7221
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy

261QP2000X
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for ELITE THERAPY AND WELLNESS

NPI # 1679071302
LBN Legal business name ELITE THERAPY AND WELLNESS
Authorized official HOLLI LILLARD - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/29/2018
Last updated 05/12/2021 - About 5 years ago
Identifiers
AR License # PT2712
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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