Kidsource Therapy
LBN: Kidsource Therapy
Kidsource Therapy is an health care organization with primary practice located at 17706 I-30 Ste 3, Benton AR 72015. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty.
Kidsource Therapy can be contacted via phone (501) 315-4414, or through Tinkle, Corey W via phone (501) 315-4415.
Contact Information
Primary practice address
17706 I-30 Ste 3
Benton AR 72015
Phone: (501) 315-4414
Fax: (501) 315-3467
Website:
Health care specialties
Profile Details
| NPI number | 1760443220 |
|---|---|
| LBN Legal business name | Kidsource Therapy |
| DBA Doing business as | |
| Authorized official | Tinkle, Corey W MS PT |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Aug 22nd, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760443220 | NPPES |
| Arkansas | Other | 5C299 | BCBS |
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