Ellerbe, Misty Kaye

Ellerbe, Misty Kaye is an sole proprietor health care provider with primary practice located at 316 Main St , Lake Village AR 71653. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Ellerbe, Misty Kaye can be contacted via phone (870) 265-3950.

Contact Information

Primary practice address
316 Main St Lake Village AR 71653
Phone: (870) 265-3950
Fax: (870) 265-2525
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X OT-A626 Arkansas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OTR2910

Profile Details

NPI number 1942666490
LBN Legal business name Ellerbe, Misty Kaye
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2016
Last updated Nov 25th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942666490 NPPES
Arkansas Other OT-A626 AR LICENSE

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