Landry, Jacki

Landry, Jacki is an individual health care provider with primary practice located at 321 Section Line Rd Suite E, Hot Springs AR 71913-6482. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Landry, Jacki can be contacted via phone (501) 520-0504.

Contact Information

Primary practice address
321 Section Line Rd Suite E Hot Springs AR 71913-6482
Phone: (501) 520-0504
Fax: (501) 520-0245
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 1293 Arkansas

Profile Details

NPI number 1578867487
LBN Legal business name Landry, Jacki
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2011
Last updated Feb 1st, 2014 - about 11 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 1578867487 NPPES
Arkansas Other 1293 PTA LICENSE

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