Carolyn Moody Physical Therapy Co.

LBN: Carolyn Moody Physical Therapy Co.
Carolyn Moody Physical Therapy Co. is an health care organization with primary practice located at 217 E Cherry Ave , Jonesboro AR 72401-3372. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as the primary health care specialty. Carolyn Moody Physical Therapy Co. can be contacted via phone (870) 932-5551, or through Moody, Carolyn via phone (870) 932-5551.

Contact Information

Primary practice address
217 E Cherry Ave Jonesboro AR 72401-3372
Phone: (870) 932-5551
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Moody, Carolyn
Phone: (870) 932-5551

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 819 Arkansas

Profile Details

NPI number 1114116878
LBN Legal business name Carolyn Moody Physical Therapy Co.
DBA Doing business as
Authorized official Moody, Carolyn
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2007
Last updated Oct 18th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114116878 NPPES
Arkansas MEDICAID 165343742

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